Coder

Job Description

Nemours is seeking a Coder that has completed a coding certificate or degree granting program through AHIMA and/or AAPC

Responsible for the proper coding and abstracting of outpatient facility accounts using ICD-10-CM diagnosis, CPT, and HCPCS or any other designated coding classification system in accordance with coding rules and regulations.

Knowledge and adherence to the Official Coding Guidelines for ICD 10 CM is required. Participation in on-going coding training and education is essential and required for this position. Maintaining annual coding certification through the American Health Information Management Association (AHIMA) or the AAPC is also required.

Ability to read and comprehend the medical record to identify all diagnoses, operations, and procedures relevant to the current period.

Translate diagnostic and procedural documentation into the appropriate ICD-10-CM, CPT, and HCPCS codes.

Assign appropriate E/M level to emergency department and Observation cases.

Accurately assign modifiers as needed.

Enter appropriate charges based on documentation for sedation, recovery time, injections, infusions, and other procedures.

Abstract records in an accurate manner according to established procedures and guidelines.

Meet and/or exceed coding quality standards.

Meet and/or exceed coding productivity standards.

Review and address coding edits including coding validation, medical necessity, and local coverage determinations (LCDs).

Demonstrate and incorporate a working knowledge of the Epic system for retrieval of clinical data for coding purposes.

Qualifications

Certified Coding Specialist Certification (CCS) or Certified Professional Coder (CPC)

2 year Degree preferred

Experience Preferred

ABOUT US

Nemours Children’s Health is an internationally recognized children’s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children’s hospitals — Nemours Children’s Hospital, Delaware and Nemours Children’s Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.

As one of the nation's premier pediatric health systems, we’re on a journey to discover better ways of approaching children’s health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child’s world a place to thrive. It’s a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.

Equity, diversity, and inclusion guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build a diverse and inclusive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.

To learn more about Nemours Children’s and how we go well beyond medicine, visit us at www.nemours.org .