Northwestern Medecine.

  • Chicago, IL


  • Permanent.

  • Full-time.

Crucial Update: At Northwestern Medication security is always a top priority. In reaction to the COVID-19 pandemic, Northwestern Medication has transferred to a more virtual recruitment process consisting of telephone and video interviews to help make sure the health and wellness of our staff members, prospects, and neighborhoods. Some hiring activities might be delayed or suspended in particular geographic locations and job categories. X

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Coding Professional II – Expert Billing, Full-time, Days Chicago, Illinois Job REQID 6608 Job Function Health Information Management Shift Day Job (first)

At Northwestern Medicine, every patient interaction makes a difference in cultivating a favorable office. This patient-first method is what sets us apart as a leader in the health care market. As an essential part of our team, you’ll have the chance to join our mission for much better healthcare, no matter where you work within the Northwestern Medication system. At Northwestern Medication, we pride ourselves on supplying competitive advantages: from tuition compensation and loan forgiveness to 401( k) matching and lifecycle benefits, we look after our staff members. Ready to join our quest for much better?

Description

The Coding Professional II shows the objective, vision, and worths of NM, complies with the organization’s Code of Ethics and Corporate Compliance Program, and adhere to all appropriate policies, treatments, guidelines and all other regulatory and accreditation standards.

The PB Coding Professional II carries out Current Procedural Terms (CPT) and International Category of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on more complex encounters and/or has expertise with HCPCs procedural codes. This position has deep understanding of illness process, A&P and pharmacology and functions as a crucial collaborator with Providers and Medical locations to ensure the medical record properly shows the patient’s service. This position trains physicians and other staff relating to documents, billing and coding, and carries out different administrative and clerical responsibilities to support the functions core function. The Coding Expert II likewise shows knowledge to deal with Optum coding edits.

Obligations:

  • Utilizes technical coding proficiency to evaluations the medical record thoroughly, making use of all offered paperwork abstract and code physician professional services and medical diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive treatments and/or drug infusion encounters). In addition, may include coding for Evaluation and Management services, bedside procedures and diagnostic tests as required.
  • Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers with a minimum of 95% accuracy.
  • Makes sure charges are recorded by carrying out various reconciliations (treatment schedules, OR logs and scientific system reports)
  • Provides paperwork feedback to physicians
  • Preserves coding reference details
  • Trains physicians and other staff concerning documentation, billing and coding.
  • Reviews and interacts new or revised billing and coding standards and information
  • Goes to meetings and instructional roundtables, interacts essential info to doctors and personnel.
  • Deals with pre-accounts receivable edits. Determines recurring paperwork problems as well as system issues.
  • Makes suitable changes to incorrectly billed services, adds missing unbilled services, offers missing out on data as proper, remedies CPT and ICD9 codes and modifiers. Includes MBO tracking codes as required.
  • Work Together with Patient Accounting, PB Billing, and other functional areas to offer coding compensation competence; helps recognize and fix inaccurate claim issues and is accountable for drafting letters in order to coordinate appeals
  • Functions as bottom line person for Earnings Cycle personnel and Account Query System personnel in acquiring documentation (notes, personnel reports, drug treatment plans, etc.). Offers extra code and modifier details to help with attractive denials. May contact service providers for peer-to-peer reviews.
  • Meets developed minimum coding productivity and quality requirements for each encounter type
  • May carry out other tasks as assigned.

Qualifications

Needed:

  • Registered Health Info Administrator (RHIA), Registered Health Info Professional (RHIT) or Certified Expert Coder (CPC) accreditation or Certified Coding Specialist (CCS).
  • Zero (0) to two (2) years of experience in an appropriate role.
  • 94% precision on companies coding test.

Preferred:

  • Bachelor’s or Partner’s degree in a Health Info Management program certified by the Commission on Accreditation for Health Informatics and Details Management Education (CAHIIM).
  • Previous experience with doctor coding.

Level Playing Field

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

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

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