Billing Liaison SrCoder
Wilmington, DE - USA
Job Summary
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:
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.
reports to assist in the analysis of their assigned divisions revenue claim follow up and claim denials provide feedback and make suggestions for improvement
scheduled meetings with their assigned division heads or physicians on a monthly basis; provide reports regarding billing related operations
as a coding resource to assigned divisions and to other liaisons
CPC certification and attend relevant coding in-services and seminars.
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
divisions/departments of changes to CPT and ICD-10 codes and resulting reimbursement issues
9. Communicate with the Coding Integrity department on coding issues.
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
#LI-AE1
Required Experience:
Senior IC
About Company
Nemours Children’s Health is an internationally recognized children’s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children’s hospitals — Nemours Children’s Hospital, Delaware an ... View more