Offer summary

Qualifications:

3 years of experience in an acute healthcare setting, Certification such as RHIT, RHIA, CCS, CCS-P, COC, or CPC, Membership in AHIMA or AAPC is required, Preferred: 4 years of experience in a professional setting..

Key responsibilities:

Assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types

Review medical records to code diagnoses, procedures, and evaluation services

Collaborate with various departments to provide coding reimbursement expertise

Resolve outpatient edit claim failures and meet coding productivity standards.

Job description

Company Description

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

Job Description

The HB Coding Analyst reflects the mission, vision, and values of Northwestern Memorial, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The HB Coding Analyst is the coding and reimbursement expert in ICD-10-CM diagnosis coding and has expertise with HCPC Level I and II procedural codes. Also demonstrates expertise to resolve NCD/LCD and NCCI edits of hard-coded (Chargemaster) and soft-coded (coder assigned) HCPC codes.

Responsibilities:

Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
Utilizes technical coding expertise to assign Evaluation and Management codes for physician encounters
Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses, procedures, and evaluation and management services
Collaborates with Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise
Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures
Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant, interprets coding conventions and instructional notes to select appropriate diagnoses and procedures with a minimum of 95% accuracy
Resolves NCCI, NCD/LCD or other outpatient edit claim failures as assigned
Meets established minimum coding productivity and quality standards for each outpatient encounter type
Other duties as assigned

Qualifications

Required:

3 years of experience in acute healthcare setting
RHIT or RHIA or CCS or CCS-P or COC or CPC
AHIMA or AAPC membership

Preferred:

RHIA/RHIT with CCS, CCS-P, COC, CPC
4 years’ experience in acute healthcare setting
4 years’ experience in a professional setting

Additional Information

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.

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