Nemours

Join our team as an Inpatient Coder! Role responsibilities include assessing documentation for each service rendered in the hospital's place of service, in order to accurately code principal diagnoses (i.e. 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 (i.e. soft vs. hard coded charges),working knowledge of revenue codes, relevant grouper function and financial impact; assessment and entry of surgical charges (i.e. supplies, implants), and pharmacy charges (i.e. contrast, patient supplied, etc). This position is remote. Applicants must reside in one of the following states:...

Nemours Children's Health is seeking a remote Professional Fee Abstractor Assesses each professional session (i.e. claim) for all documented conditions and application of M.E.A.T. criteria (i.e. monitoring, evaluation, assessment, treatment) to accurately apply ICD 10 CM codes to capture diagnoses, evaluation & management CPT codes, procedure codes, HCPCS codes and modifier application per payer specific guidelines. This is a remote position. Essential Functions Ability to comprehend medical record documentation to assign codes for each active session, in multiple specialties. (i.e. Codes assigned by provider are evaluated and modified with the approval of the provider) Codes a minimum of 60-100 sessions per shift. The number of lines per session varies, therefore, "Coding Required" sessions are completed daily. Works collaboratively in a team setting with providers, allied health staff, business office staff throughout the enterprise to achieve accurately coded 1500 claims....

Nemours is seeking a Facility ED Coder to work remotely from Florida. This position entails accurately coding medical services, managing documentation, and ensuring compliance with coding guidelines. The ideal candidate will have an Associate's degree and relevant coding certifications like CPC or CCS. Responsibilities include assessing medical records, identifying charge gaps, and facilitating documentation modifications to ensure accurate billing. Join our dedicated team ensuring excellence in hospital coding practices. #J-18808-Ljbffr