Financial Coding Specialist- Oncology Full Time

The  Financial Coding Specialist  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.

Responsible for the translation of diagnoses and diagnostic/therapeutic procedures into codes using the International Classification of Diseases and Procedures and the Current Procedural Terminology systems. Generates accurate claims to insurance companies verifying that infusion documentation and charges coordinate and appropriate modifiers are added. Researches and resolves all inquiries from Revenue Cycle Departments in an efficient manner.

Responsibilities:

• Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
• Assigns Evaluation and Management codes for Facility Clinic visits
• Analyze and review clinical documentation to ensure documentation supports accurate charge capture and appropriate charging for services rendered
• Assigns appropriate CPT and HCPCS codes to medical procedures according to coding guidelines
• Collaborates with HB Coding Revenue Integrity 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
• Position offers working remote 2 days a week after initial onboarding is completed 

Additional Functions

• Other duties as assigned

Qualifications :

Required:

• Six months coding experience in an oncology setting. 2 years of physician and/or hospital billing including infusion billing.
• Thorough understanding of Medicaid HMOs PPOs and private insurance companies.
• ICD9 CPT and chemotherapy infusion billing knowledge.
• Effective in identifying and analyzing problems.
• Generates alternatives and possible solutions.
• Above average keyboarding and data entry skills.
• Ability to multi-task and work in a fast-paced environment.
• Ability to work with physicians and other staff in a collaborative manner.

Preferred:

• Associates degree or CCSP.
• CERT CODER

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.

If we offer you a job we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.

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.

Remote Work :

No

Employment Type :

Full-time