Billing Liaison Sr/Coder

The Nemours Foundation•Wilmington, NC

121d

About The Position

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.

Requirements

AAPC Certification Required
High school diploma required

Nice To Haves

5 years of coding experience preferred.
Coding in surgical and/or cardiology coding also preferred.

Responsibilities

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.
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
Attend scheduled meetings with their assigned division heads or physicians on a monthly basis; provide reports regarding billing related operations
Act as a coding resource to assigned divisions and to other liaisons
Maintain CPC certification and attend relevant coding in-services and seminars.
Track all third party payment issues that affect division revenues and report trends to manager
Communicate regularly with the Central Business Office on claim issues
Advise divisions/departments of changes to CPT and ICD-10 codes and resulting reimbursement issues
Communicate with the Coding Integrity department on coding issues.
Remain abreast and adhere to insurance company, CPT, ICD-10, HCPCS, Federal and State requirements for correct coding and clean claim submission