This job listing has expired and the position may no longer be open for hire.

Coding Specialist-Nemours Clinic, Pensacola at Nemours in Pensacola, Florida

Posted in General Business 30+ days ago.

Type: Full-Time





Job Description:

PRIMARY FUNCTION

  • 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/or O.R. schedule(s) daily.
  • Review and correctly code any clinical encounter sessions that fall into any relevant coding workqueues.
  • Act as a coding resource to assigned divisions
  • ESSENTIAL RESPONSIBILITIES

  • 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 the Professional Billing computer package.
  • 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.
  • Maintain annual/new hire training as required.
  • Perform other duties as assigned by leadership.
  • POSITION QUALIFICATIONS
  • Education, Training and Experience
  • High School Diploma or equivalent.
  • Basic word processing and computer skills required.
  • Basic knowledge of insurance plans and requirements required.
  • Medical terminology required.
  • CPC and/or CCS-P required. Expectation that individual will actively work toward and obtain certification within the first two years of employment.




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