Coding Auditor, CPC / CCS-P, Full Time, 5 Yrs Exp (Coder, Specialist, Records)
Nemours is seeking a Coding Auditor to join our team in Pensacola, FL.
As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 280,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.
With clinic locations in Pensacola and Destin, Florida, Nemours provides pediatric specialty care to children and families in northwest Florida and southern Alabama. We offer comprehensive, family-centered care in more than 30 pediatric specialties with several of our physicians regularly named among the “Best Doctors in America®.”
The Coding Auditor will conduct compliance reviews of the coding and documentation of procedural and diagnosis coding, billing and medical record documentation performed by Nemours clinical services providers (physicians and billing providers), as well as coding and billing associates, as requested by the Coding Integrity Director. The Coding Auditor will also meet with clinical services providers to discuss their compliance reviews and present continuing education, as necessary. This position will also work on special projects individually or in collaboration with other coding auditors, as requested, including providing training and education to Nemours clinical services providers, coding and billing associates on coding and billing rules and regulations.
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.
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High school diploma required; Associate's degree preferred.
Must be a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) with either the AAPC or AHIMA.
Minimum five years hands-on experience in physician coding.
Thorough knowledge of CMS’ coding and documentation guidelines.
Knowledge of third-party physician service billing practices and systems (commercial and governmental).
This position will be required to travel 10-20% of the time.
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