Coding Specialist I PB Coding Full-time Days Remote - Must reside in IL IN IA or WI - Sign-on bonus eligible
Coding Specialist I PB Coding Full-time Days Remote - Must reside in IL IN IA or WI - Sign-on bonus eligible
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1 Vacancy
Job Description
The Coding Specialist I reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.
The Coding Specialist I performs Current Procedural Terminology (CPT) and International Classification of Diseases volume 10 (ICD10 coding through abstraction of the medical record with a focus on Evaluation and Management services. This position trains physicians and other staff regarding documentation billing and coding and performs various administrative and clerical duties to support the roles core function. The Coding Specialist I also demonstrates understanding and knowledge to resolve Optum coding edits.
Responsibilities:
- Utilizes technical coding expertise to review the medical record thoroughly utilizing all available documentation to abstract and code physician professional services and diagnosis codes (inpatient admissions bedside procedures and/or diagnostic services).
- Follows Official Guidelines and rules in order to assign appropriate CPT ICD10 codes and modifiers with a minimum of 95 accuracy.
- Provides documentation feedback to physicians.
- Maintains coding reference information.
- Trains physicians and other staff regarding documentation billing and coding for their specialty.
- Reviews and communicates new or revised billing and coding guidelines and information with providers and their assigned specialty.
- Attends meetings and educational roundtables communicates pertinent information to physicians and staff.
- Resolves preaccounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues.
- Makes appropriate changes to incorrectly billed services adds missing unbilled services provides missing data as appropriate corrects CPT and ICD10 codes and modifiers. Adds MBO tracking codes as needed.
- May collaborate with Patient Accounting PB Billing and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals.
- May work with Revenue Cycle staff and Account Inquiry Unit staff as requested assists in obtaining documentation (notes operative reports etc.. Provides additional code and modifier information
- Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded.
- May perform other duties as assigned.
Qualifications :
Required:
- Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS).
- Zero 0 to two 2 years experience in a relevant role.
- 94 accuracy on organizations coding test.
Preferred:
- Bachelors degree or Associates degree in a Health Information Management program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM).
- Previous experience with physician coding.
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 wellbeing while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Remote Work :
Yes
Employment Type :
Fulltime
Employment Type
Remote
