Sr Billing Liaison

Nemours is seeking a Senior Billing Liaison to join our Nemours Children’s Health team.  This is a remote position.

The Billing Liaison/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, IDC-9-CM codes and modifiers.  Daily review of EPIC Charge Review Work queues is essential. Also monitor and report on account receivable issues related to payer compliance and/or billing processes. The Liaison/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.

This is a 100% work-from-home position.  Nemours supplies the necessary equipment.

Responsibilities:

1.Review work queues and billing forms for correct coding and work with providers to eliminate errors.  Assign correct CPT, ICD-9 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 operation

 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-9 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-9, HCPCS, Federal and State requirements for correct coding and clean claim submission

Requirements:

• CPC is required
• High school diploma required
• Three-five years experience coding in surgical area

As one of the nation's premier pediatric health care systems, we've made a promise to do whatever it takes to prevent and treat even the most disabling childhood conditions. It's a promise that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention.

Equity, diversity, and inclusion guide our growth and strategy.  We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build a diverse and inclusive environment.  All Nemours Associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.  

Nemours aspires to have its workforce and providers reflect the rich diversity of the communities we serve.  Candidates of diverse backgrounds, race and ethnicity, religion, age, gender, sexual orientation, and those committed to working with diverse populations and conversant in multicultural values are strongly encouraged to apply. Please click here to review Nemours Anti-Racism Statement (nemours.org). 

 

To learn more about Nemours and our commitment to treat every child as if they were our own, visit us at www.nemours.org.