Northwestern Memorial Healthcare

Northwestern Memorial Healthcare.

  • Chicago, IL


  • Irreversible.

  • Full-time.

Company Description

At Northwestern Medicine, every client interaction makes a distinction in cultivating a favorable office. This patient-first method is what sets us apart as a leader in the health care market. As an important part of our group, you’ll have the chance to join our mission for much better health care, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on offering competitive advantages: from tuition repayment and loan forgiveness to 401( k) matching and lifecycle advantages, we look after our workers. Prepared to join our mission for much better?

Job Description

The Coding Specialist II shows the objective, vision, and worths of NM, complies with the company’s Code of Ethics and Corporate Compliance Program, and adhere to all appropriate policies, treatments, standards and all other regulative and accreditation requirements.

The PB Coding Specialist II carries out Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a concentrate on more intricate encounters and/or has proficiency with HCPCs procedural codes. This position has deep understanding of illness procedure, A&P and pharmacology and serves as an essential partner with Providers and Clinical locations to make sure the medical record properly shows the client’s service. This position trains doctors and other personnel relating to paperwork, billing and coding, and carries out different administrative and clerical tasks to support the functions core function. The Coding Specialist II likewise shows know-how to deal with Optum coding edits.

Responsibilities:

  • Utilizes technical coding proficiency to evaluations the medical record completely, making use of all offered paperwork abstract and code doctor expert services and medical diagnosis codes (consisting of anesthesia encounters, personnel space and surgical procedural services, intrusive treatments and/or drug infusion encounters). Furthermore, might consist of coding for Evaluation and Management services, bedside treatments and diagnostic tests as required.
  • Follows Official Guidelines and guidelines in order to designate proper CPT, ICD10 codes and modifiers with a minimum of 95% precision.
  • Ensures charges are caught by carrying out numerous reconciliations (treatment schedules, OR logs and medical system reports)
  • Provides documents feedback to doctors
  • Maintains coding recommendation info
  • Trains doctors and other personnel concerning documents, billing and coding.
  • Reviews and interacts brand-new or modified billing and coding standards and details
  • Attends conferences and academic roundtables, interacts significant details to doctors and personnel.
  • Resolves pre-accounts receivable edits. Recognizes recurring paperwork issues in addition to system problems.
  • Makes suitable modifications to improperly billed services, includes missing out on unbilled services, offers missing out on information as suitable, fixes CPT and ICD9 codes and modifiers. Includes MBO tracking codes as required.
  • Collaborate with Patient Accounting, PB Billing, and other functional locations to offer coding repayment proficiency; assists determine and deal with inaccurate claim problems and is accountable for preparing letters in order to collaborate appeals
  • Acts as bottom line individual for Revenue Cycle personnel and Account Inquiry Unit personnel in acquiring paperwork (notes, personnel reports, drug treatment strategies, and so on). Supplies extra code and modifier info to help with enticing rejections. Might contact service providers for peer-to-peer evaluations.
  • Meets developed minimum coding efficiency and quality requirements for each encounter type
  • May carry out other tasks as appointed.

Qualifications

Required:

  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) accreditation or Certified Coding Specialist (CCS).
  • Zero (0) to 2 (2) years of experience in a pertinent function.
  • 94% precision on companies coding test.

Preferred:

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

Additional Information

Northwestern Medicine is an affirmative action/equal chance company and does not discriminate in employing or work on the basis of age, sex, race, color, faith, nationwide origin, gender identity, veteran status, impairment, sexual preference or any other safeguarded status.

Northwestern Memorial Healthcare.