Coding Specialist II

Posted: Wednesday, 30 April 2025
Valid Thru: Friday, 30 May 2025
Index Requested on: 04/30/2025 19:19:33
Indexed on: 04/30/2025 19:19:33

Location: Pensacola, FL, 32514, US

Industry: Advertising and Public Relations
Occupational Category: 13-0000.00 - Business and Financial Operations
Type of Employment: FULL_TIME

Nemours is hiring!

Description:

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.

    • Essential Functions
  • 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.

    • Qualifications

    High School Diploma

    CPC and/or CCS-P required

    3-5 years experience. Must meet annual continuing education requirements to maintain certification.

    Responsibilities:

    Please review the job description.

    Educational requirements:

    • high school

    Desired Skills:

    Please see the job description for required or recommended skills.

    Benefits:

    Please see the job description for benefits.

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