Professional Fee Abstractor

Nemours Children's Health is hiring a remote Professional Fee Abstractor. The Professional Fee Abstractor is responsible for 100% charge capture by reviewing physician documentation and properly coding all professional services performed utilizing appropriate ICD-10-CM, CPT-4, HCPCS codes and modifiers.  Daily review of EPIC Charge Review Work queues is essential. Participation in physician training and education is also required.  Maintaining yearly certification as a CPC, CCS-P, RHIA, or RHIT is required.

This is a remote position.

Essential Functions:

1.Ensure that charges for all applicable patient encounters of the Nemours Children’s Clinical Practice are abstracted in a timely manner. Utilization of hospital systems will be used to indicate respective patients.

2.Abstracted charges will be reported via EPIC EHR, external interfaces or other approved methods

3.Communicate in a timely manner with physicians, managers, and peers orally or in writing, regarding medical record documentation guidelines and regulations, and respond to all inquiries that concern the proper documentation of diagnostic and procedural services.

4.Maintain thorough knowledge of coding, and documentation principles.  Also maintain knowledge of assigned medical specialties.

5.Attend in-services and seminars pertinent to assigned medical specialties and documentation requirements

6.Review and maintain current knowledge of changes in coding guidelines and regulations.

7.Meets at least quarterly to discuss new coding/ documentation guidelines with management and team

8. Reports significant changes in documentation trends that affect assigned levels of service or procedures being billed

9. Adhere to the Nemours Standards of Behavior

10. Other tasks as assigned

Qualifications:

• CPC, CCS-P, RHIA, or RHIT required
• 3-5 years experience
• Medical Terminology and Anatomy and Physiology preferred

• High School Diploma Required

   

Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia.

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.

Inclusion and belonging 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 an inclusive and supportive 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.