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Billing Liaison Sr/Coder

Role overview

Qualifications

  • AAPC Certification Required
  • 5 years of coding experience preferred
  • Coding in surgical and/or cardiology coding also preferred
  • High school diploma required

Responsibilities

  • Review work queues and billing forms for correct coding and work with providers to eliminate errors.
  • Create reports to assist in the analysis of their assigned division’s revenue, claim follow up and claim denials.
  • Attend scheduled meetings with their assigned division heads or physicians on a monthly basis.
  • Act as a coding resource to assigned divisions and to other liaisons.

Key facts

Hard skills

Other skills

  • Problem Reporting
  • Communication
  • Problem Solving
  • Detail Oriented

About the company

Nemours logo

Nemours

Hospitals & Health Care

Nemours is committed to improving the health of children. As a non-profit children’s health organization, we consider the health of every child to be a sacred trust.Through family-centered care in our children’s hospitals and clinics in Delaware, New Jersey, Pennsylvania and Florida, as well as world-changing research, education and advocacy, Nemours fulfills the promise of a healthier tomorrow for all children — even those who may never enter our doors.Nemours began more than 80 years ago with the vision of Alfred I. duPont to improve the lives of children and to do whatever it takes to prevent and treat even the most disabling childhood conditions.Today, through our children’s hospitals and health system, we directly care for 250,000 children annually in Delaware Valley and Florida, including families who travel from across the country and world to see our specialists — treating every child as we would our own.We also reach beyond the walls of our hospitals and clinics to be a voice for children on a national and international level, and to lead the way in prevention, intervention, education, and research.Nemours is growing to better serve the children and families in our care. We have 1.1 million square feet of space currently devoted to providing children’s healthcare or under construction, all designed with significant input and advice from our patients and families.

Company details

Company typeXLarge
IndustryHospitals & Health Care
Company size5001 - 10000

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Job description

Join our team as a Senior Billing Liaison! The Billing Liaison Sr/Coder primary job responsibilities include ensuring 100% charge capture by reviewing physician dictated notes and operative reports and properly code all services performed utilizing appropriate CPT, ICD-10-CM codes and modifiers. Daily review of EPIC Charge Review Work queues is essential. Also monitor and report on accounts receivable issues related to payer compliance and/or billing processes. The Liaison Sr/Coder is the link between the providers and the billing office and acts as a resource to providers, office staff, administration and the Central Business Office.  Participation in coding training and education is also required.   Maintaining yearly certification as a Certified Professional Coder is required with the American Academy of Professional Coders.

Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia.

Responsibilities:

1.Review work queues and billing forms for correct coding and work with providers to eliminate errors. Assign correct CPT, ICD-10 codes and modifiers as needed.

 2.Create reports to assist in the analysis of their assigned division’s revenue, claim follow up and claim denials, provide feedback and make suggestions for improvement

3.Attend scheduled meetings with their assigned division heads or physicians on a monthly basis; provide reports regarding billing related operations

 4.Act as a coding resource to assigned divisions and to other liaisons

 5.Maintain CPC certification and attend relevant coding in-services and seminars.

  6.Track all third party payment issues that affect division revenues and report trends to manager

 7. Communicate regularly with the Central Business Office on claim issues 

 8.Advise divisions/departments of changes to CPT and ICD-10 codes and resulting reimbursement issues

 9. Communicate with the Coding Integrity department on coding issues.

 10.Remain abreast and adhere to insurance company, CPT, ICD-10, HCPCS, Federal and State requirements for correct coding and clean claim submission

Qualifications:

  • AAPC Certification Required 
  • 5 years of coding experience preferred.  Coding in surgical and/or cardiology coding also preferred.
  • High school diploma required 

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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