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Job Description: Coder, Health Information Management, CCS / Bachelor's (Coding, Records) Nemours is seeking a Coder to join our Nemours Children's Hospital team in Orlando, Florida. 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. Located in Orlando, Florida, Nemours Children’s Hospital is the newest addition to the Nemours integrated health care system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids and outpatient pediatric clinics, including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in health care innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region. Responsible for the facility coding and abstracting of all emergency department and hospital outpatient accounts according to established ICD-9-CM and CPT coding guidelines. The assigned codes are utilized for third-party reimbursement for services rendered at the Nemours Children's Hospital to maintain a clinical database to provide reports and to submit data to the Agency for Health Care Administration (i.e., State of Florida mandatory reporting). Ability to read and comprehend the medical record to help identify all diagnoses, operations and procedures relevant to the current period. Select, assign and sequence the appropriate ICD-10 Diagnosis and PCS and CPT codes to patients’ current period of care according to established sequencing guidelines for optimal reimbursement for the emergency department and inpatients. Abstract records in an accurate manner according to established procedures and guidelines (i.e., attending physician, consults, dates of procedure, surgeon, point of origin, admission source and birth weight). Contact the appropriate health care provider if there is inadequate information on which to base code assignment, or clarify inconsistent, doubtful or non-specific information in a medical record by querying the responsible physician. Coding knowledge of infusion hierarchy with knowledge of medications. Coding knowledge of modifier application based on HIM principles to include order validation, modifier validation and communication with revenue areas for validation of charges. Enter pending claims in the Abstracting Activity of Epic for reporting and follow-up. Validate that each outpatient encounter has a provider order for the service prior to coding. Use the Abstracting Activity function in Epic to track missing orders. Code outpatient/emergency department encounters of 125 daily; code 75 recurring rehabilitation encounters daily with a 95% accuracy rate. Code 2.5 inpatients per hour. Accuracy minimum is 95% accuracy within 12 months. Demonstrate and incorporate a working knowledge of the Epic for retrieval of clinical data for coding purposes, including comprehension of filing schema, Media tab and Office visit overlay for ordering. Participate in continuous improvement training and working towards an “error-free” environment. Understand and comply with Correct Coding Initiative edits for hospital/facility outpatient encounters. Have good working knowledge of medical necessity rules, local coverage determination policies and any other payer-specific guidelines. Requirements High school diploma with post-specialized training required. Certified Coding Specialist (CCS) certification or Bachelor's degree in HIM required. Minimum of one (1) to three (3) years' inpatient/outpatient coding experience preferred. 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. Don’t miss out on important health care news and updates from Nemours – connect with us on… Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children, Child, Neonatal, Registered Health Information Administrator, Registered Health Information Technician, Technologist, RHIA, RHIT, Tech, Certified Medication Technician, Clerical, Coding, Coder, Medical Billing, EMR, Electronic Medical Record, Certified Coding Specialist, CCS, CCS-P, Certified Procedural Coder, CPC, AAPC, American Academy of Professional Coders

Job Description: 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. Requirements 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. 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. Don’t miss out on important health care news and updates from Nemours – connect with us on… Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children, Child, Neonatal, Registered Health Information Administrator, Registered Health Information Technician, Technologist, RHIA, RHIT, Tech, Certified Medication Technician, Clerical, Coding, Coder, Medical Billing, EMR, Electronic Medical Record, Certified Coding Specialist, CCS, CCS-P, Certified Procedural Coder, CPC, AAPC, American Academy of Professional Coders

Job Description: Coder, Health Information Management, 8am-5pm, Mon-Fri (Days, RHIT, RHIA, CCS) Nemours is seeking a Coder (HIM), Full Time, Monday-Friday, 8 a.m. to 5 p.m., to join our Nemours Children's Hospital team in Orlando, Florida. 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. Located in Orlando, Florida, Nemours Children’s Hospital is the newest addition to the Nemours integrated health care system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids and outpatient pediatric clinics, including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in health care innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region. Responsible for the facility coding and abstracting of all emergency department and hospital outpatient accounts according to established ICD-9-CM and CPT coding guidelines. The assigned codes are utilized for third-party reimbursement for services rendered at the Nemours Children's Hospital to maintain a clinical database to provide reports and to submit data to the Agency for Health Care Administration (i.e., State of Florida mandatory reporting). Ability to read and comprehend the medical record to help identify all diagnoses, operations and procedures relevant to the current period. Select, assign and sequence the appropriate ICD-10 diagnosis and PCS and CPT codes to patients’ current period of care according to established sequencing guidelines for optimal reimbursement for the emergency department and inpatients. Abstract records in an accurate manner according to established procedures and guidelines. (i.e., attending physician, consults, dates of procedures, surgeon, point of origin, admission source and birth weight). Contact the appropriate health care provider if there is inadequate information on which to base code assignment, or clarify inconsistent, doubtful or non-specific information in a medical record by querying the responsible physician. Enter Pending claims in the Abstracting Activity of Epic for reporting and follow-up. Validate that each outpatient encounter has a provider order for the service prior to coding. Use the Abstracting activity function in Epic to track missing orders. Code outpatient/emergency department encounters of 125 daily; code 75 recurring rehabilitation encounters daily with a 95% accuracy rate. Code 2.5 inpatients per hour.  Demonstrate and incorporate a working knowledge of Epic for retrieval of clinical data for coding purposes, including comprehension of filing schema, Media tab and Office visit overlay for ordering. Participate in continuous improvement training and working towards an “error-free” environment. Understand and comply with Correct Coding Initiative edits for hospital/facility outpatient encounters. Have good working knowledge of medical necessity rules, local coverage determination policies and any other payer-specific guidelines. Requirements Associate's degree required. Certified Coding Associate (CCA) minimum with intent to secure CCS within 12 months/RHIT or RHIA. Minimum of one (1) to three (3) years' inpatient/outpatient coding experience required. 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. Don’t miss out on important health care news and updates from Nemours – connect with us on… Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children, Child, Neonatal, Registered Health Information Administrator, Registered Health Information Technician, Technologist, RHIA, RHIT, Tech, Certified Medication Technician, Clerical, Coding, Coder, Medical Billing, EMR, Electronic Medical Record, Certified Coding Specialist, CCS, CCS-P, Certified Procedural Coder, CPC, AAPC, American Academy of Professional Coders

Job Description: Clinical Data Abstractor, Health Information Management (Records, RHIT, RHIA) Nemours is seeking a Clinical Data Abstractor (Health Information Management) - Full Time to join our Nemours Children's Hospital team in Orlando, Florida. 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. Located in Orlando, Florida, Nemours Children’s Hospital is the newest addition to the Nemours integrated health care system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids and outpatient pediatric clinics, including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in health care innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region. This position is responsible for abstracting clinical data from test results (i.e., lab, radiology) into Epic (EMR) for discrete data capture; indexing hospital and/or clinic “correspondence in” (i.e., paper-based digital transfer) with high degree of  accuracy; and maintaining statistical information  for daily reporting (e.g., tally sheets). Scans information received (either batched or single image) into the appropriate section of the EMR. Discrete data workflow tied to the orders and finalizing result for In-basket message creation to provider. Performs data entry using the scanned image and direct keyboard entry using Document Abstracting Table as a guide. Works to ensure discrete data capture processes are captured within 24 hours of receipt. Creates orders/encounters in the EMR as needed to enter/edit results, and attaches scanned images. Utilizes EMR communication pathways to route results to ordering practitioners per EMR Committee direction. Maintains high level data accuracy per performance improvement iniatives. QC expectation is 99% per posting result. Performs individual quality control on entries considered to be high risk. (i.e., labs, consents, legal documents). Cross-trained to move scanned images into EMR via batch routines. Requirements Associate's degree required; Health Information Management degree preferred. Minimum of one (1) year job-related experience required. Medical terminology knowledge required. Minimum of one (1) year experience abstracting clinical data preferred. Medical record experience is preferred. 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. Don’t miss out on important health care news and updates from Nemours – connect with us on… Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children, Child, Neonatal, Registered Health Information Administrator, Registered Health Information Technician, Technologist, RHIA, RHIT, Tech, Certified Medication Technician, Clerical, Coding, Coder, Medical Billing, EMR, Electronic Medical Record, Certified Coding Specialist, CCS, CCS-P, Certified Procedural Coder, CPC, AAPC, American Academy of Professional Coders

Job Description: Clinical Data Abstractor, Health Information Management (Records, RHIT, RHIA) Nemours is seeking a Clinical Data Abstractor (Health Information Management) - Full Time to join our Nemours Children's Hospital team in Orlando, Florida. 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. Located in Orlando, Florida, Nemours Children’s Hospital is the newest addition to the Nemours integrated health care system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids and outpatient pediatric clinics, including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in health care innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region. This position is responsible for abstracting clinical data from test results (i.e., lab, radiology) into Epic (EMR) for discrete data capture; indexing hospital and/or clinic “correspondence in” (i.e., paper-based digital transfer) with high degree of  accuracy; and maintaining statistical information  for daily reporting (e.g., tally sheets). Scans information received (either batched or single image) into the appropriate section of the EMR. Discrete data workflow tied to the orders and finalizing result for in-basket message creation to provider. Performs data entry using the scanned image and direct keyboard entry using Document Abstracting Table as a guide. Works to ensure discrete data capture processes are captured without 24 hours of receipt. Creates orders/encounters in the EMR as needed to enter/edit results and attach scanned images. Utilizes EMR communication pathways to route results to ordering practitioners per EMR Committee direction. Maintains high level of data accuracy per performance improvement iniatives. QC expectation is 99% per posting result. Performs individual quality control on entries considered to be high risk. (i.e., labs, consents, legal documents). Cross-trained to move scanned images into EMR via batch routines. Requirements Associate's degree required; Health Information Management degree preferred. Minimum of one (1) year job-related experience required. Medical terminology knowledge required. Minimum of one (1) year experience abstracting clinical data preferred. Medical record experience is preferred. 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. Don’t miss out on important health care news and updates from Nemours – connect with us on… Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children, Child, Neonatal, Registered Health Information Administrator, Registered Health Information Technician, Technologist, RHIA, RHIT, Tech, Certified Medication Technician, Clerical, Coding, Coder, Medical Billing, EMR, Electronic Medical Record, Certified Coding Specialist, CCS, CCS-P, Certified Procedural Coder, CPC, AAPC, American Academy of Professional Coders

Job Description: Billing Specialist, Health System, Insurance, Full Time (Accounting, Registration) Nemours is seeking a Billing Specialist I - Full Time to join our Business Office team in Jacksonville, Florida. 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. At Nemours, each Associate plays a vital role in supporting the delivery of world-class pediatric care to the children we serve. The team based at our home office in Jacksonville, Florida, provides essential administrative, financial and technical support to Nemours operations across all locations. This position is responsible for working with the outside hospital data to register new patients. These are patients who received billable hospital services by a Nemours provider outside of a Nemours facility. Information for performing this task is gathered from multiple places, including searching the online hospital medical record, contacting parents for information, and contacting insurance companies. Data must be accurate and complete for claims billing, and insurance has to be verified. This position also serves as a back-up for providing basic billing functions as needed, such as posting charges and loading referrals. Essential Functions Proficient health insurance knowledge, including benefit verification and understanding of plan requirements for accurate claim filing. Must be accurate in loading registration information gathered from multiple places. Must have working knowledge of CPT, ICD-9 and HCPCS codes. Must understand how to determine the guarantor in complex family situations. Must have excellent customer service skills with all interactions. Abide by all HIPPA guidelines. CPC preferred but not required. Must have the ability to work well with others. Regular attendance is required. Good communications skills are required. Requirements High school diploma required. Minimum 6 months to 1 year job-related experience. Use of professional language and appropriate grammar at all times in verbal and written communication. Ability to work with minimal supervision, possess critical thinking skills, and be solution-oriented. Embraces cultural diversity in the workplace. Willingness to provide exceptional customer service skills (A.I.D.E.T.). Govern self by personal standards of integrity/ethics. Organize and prioritize responsibilities in order to meet deadlines. 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. Don’t miss out on important health care news and updates from Nemours – connect with us on… Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children, Child, Neonatal, AP, AR, Accounts Payable, Accounts Receivable, Collection, Collections, Accounting, Finance, Accountant, Financial, Billing, Payment, Bill, Insurance, A/R, A/P, GAAP, Generally Accepted Accounting Principles

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