Billing Liaison Sr/Coder

About the role

Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships. Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive. Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.

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.

Qualifications

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

Skills

• Strong communication skills
• Attention to detail
• Knowledge of CPT, ICD-10, and HCPCS codes
• Ability to work independently and as part of a team

Benefits

• Competitive compensation package
• Flexible work schedule
• Professional development opportunities
• Health and wellness programs
• Employee discounts

Pay

• Salary range: $60,000 - $90,000 annually

Schedule

• Full-time position
• Hours: Monday - Friday, 8:00 AM - 5:00 PM