Nemours
Orlando, FL
Nemours Children's Hospital, Florida is seeking a Coding & Billing Specialist (FULL-TIME)
Assesses documentation for each service rendered in the hospital place of service, in order to accurately code principal diagnoses ( preponderance of care sequence), secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, Current Procedural Terminology guidelines, payer specific rules for commercial and/or Medicaid insurance, and drug administration for specified service lines impacting Florida's enhanced ambulatory grouping. This includes excellent working knowledge of revenue charge capture and the impact to hospital billing ( soft vs. hard coded charges), working knowledge of revenue codes, relevant grouper function and financial impact; assessment and entry of surgical charges ( supplies, implants), and pharmacy charges ( contrast, patient supplied, etc.).
The Coding & Billing Specialist will:
Ability to comprehend medical...