What are the responsibilities and job description for the Coding Specialist II position at Nemours?
Job Description
Nemours is seeking a Coding Specialist II to join our team.
Primary Functions
High School Diploma
CPC and/or CCS-P required
3-5 years experience. Must meet annual continuing education requirements to maintain certification.
About Us
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 and Nemours Children’s Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.
As one of the nation's premier pediatric health systems, we’re on a journey to discover better ways of approaching children’s health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child’s world a place to thrive. It’s a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.
Inclusion and belonging 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 an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.
To learn more about Nemours Children’s and how we go well beyond medicine, visit us at www.nemours.org .
Nemours is seeking a Coding Specialist II to join our team.
Primary Functions
- Code correctly all applicable diagnosis, procedure codes, and modifiers related to the admission, observation or procedure utilizing appropriate CPT, ICD-9-CM, and HCPCS codes.
- Review Charges in Epic EMR and prepare charges for submission. Include complete information regarding diagnosis, service/procedure codes, and any additional information needed for reimbursement.
- Manually charge enter charges form partner hospitals as needed.
- Ensure charge capture by reviewing census and/or O.R. schedule(s) daily.
- Act as a coding resource to assigned divisions.
- Code correctly all applicable diagnosis, procedure codes, and modifiers related to the admission, observation or procedure utilizing appropriate CPT, ICD-10, and HCPCS codes.
- Prepare charges for data entry. Include complete information regarding diagnosis, service procedure codes, and any additional information needed for reimbursement.
- Ensure charge capture by reviewing Census and O.R. schedule(s) daily.
- Act as a coding resource to assigned divisions.
- Keep abreast of all current CMS and insurance plan coding requirements.
- Register off-site inpatient and outpatient demographics as needed by accurately entering patient demographic, guarantor and coverage information into EPIC
- Data entry of charges into the Professional Billing computer package as needed following Charge Entry workflow and Standard Business Practice for Reconciliation of Charge Batches.
- Configure and run Charge Entry report daily
- Proficient in Professional Billing application(s).
- Know and use data entry ground rules for data entry.
- Know and follow Standard Business Practices and where to locate both hard copy and electronic versions.
- Work well with DAG team to obtain necessary coverage’s and/or authorizations.
- Demonstrate excellent customer service that promotes patient, staff, and customer satisfaction and reflects the mission, vision, and values of Nemours.
- Understand and utilize Nemours Intranet and Managed Care Manual.
- Keep abreast of all insurance and system changes/updates.
- Maintain strict confidentiality.
- Provide support and assistance to other Coding Specialist as needed.
- Maintain annual/new hire training as required.
- Perform other duties as assigned by leadership.
High School Diploma
CPC and/or CCS-P required
3-5 years experience. Must meet annual continuing education requirements to maintain certification.
About Us
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 and Nemours Children’s Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.
As one of the nation's premier pediatric health systems, we’re on a journey to discover better ways of approaching children’s health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child’s world a place to thrive. It’s a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.
Inclusion and belonging 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 an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.
To learn more about Nemours Children’s and how we go well beyond medicine, visit us at www.nemours.org .
