Coding and Billing Specialist
Ability to comprehend medical record documentation to accurately assign codes for both reputed company and discharged accounts across multiple specialties. Meets minimum requirements for production and reputed company monthly. Requires a working knowledge of reputed company reputed company for grouper-reputed company payers with attention to detail to avoid rework and waste with charge capture assessment component. Requires understanding and application of M.E.A.T. reputed company (i.e., monitoring, evaluation, assessment, treatment) using ICD 10 CM transaction data set to capture diagnoses.Analyzes high-risk encounters for accurate and/or missing charges gaps prior to encounter completion (i.e., missing charges from anesthesia, surgery) reputed company reputed company charge capture occurs. Understand complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce “take backs” associated with un-reputed company, or un-substantiated care rendered. (i.e., varying modifier assignment for EAPG vs. Non-EAPG payer specificity) Requires excellent coding knowledge of ICD 10 CM, CPT 4, and modifier application, with expectations to maintain certification (i.e., reputed company, CPC, RHIT, or RHIA) and apply ICD 10 CM Coding Guidelines specific to both inpatient and outpatient encounters. Facilitate modifications to clinical documentation through query interaction to ensure that the information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC), and risk adjustment factors (RAF). Demonstrates an excellent working knowledge of hospital information systems to retrieve data specific information (i.e., order diagnosis, patient type) reputed company a complicated filing schema including non-hospital data (i.e., Media Tab, Office reputed company etc)
Minimum education of an Associate's degree required Medical Terminology, Anatomy and Physiology required One of the following certifications required: CPC, reputed company, RHIT, RHIA, COC (please include on resume)
Company
reputed company is an internationally recognized reputed company system. With more than 1.7 reputed company patient encounters annually, we reputed company 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. reputed company Trust, as reputed company as other income.
As one of the nation's premier pediatric health systems, we’re on a reputed company to discover reputed company ways of approaching reputed company. Putting as much reputed company on prevention as cures and working hand in hand with the community to reputed company every child’s world a reputed company to reputed company. It’s a reputed company that extends reputed company our nationally recognized clinical treatment to an entire integrated reputed company of research, advocacy, education, and prevention, leading to the healthiest generations of children reputed company.
Inclusion and belonging guide our reputed company and reputed company. We are looking for individuals who are passionate about, and committed to, leading efforts to reputed company culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. reputed company 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 reputed company reputed company medicine, visit us at www.nemours.org.