Coding Specialist I, PB Coding, Full-time, Days (Remote Must reside in IL, IN, IA, or WI)

The 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.

The Coding Specialist performs Current Procedural Terminology (CPT) and International Classification of Diseases volume 9 (ICD9) coding through abstraction of the medical record. 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.

Responsibilities:

• Abstracts and codes physician professional services and diagnosis codes (inpatient admissions outpatient procedures diagnostic services).
• Assigns appropriate CPT and ICD9 codes.
• Completes coding and billing worksheet.
• Ensures charges are captured by performing various reconciliations (procedure schedules clinical system reports fatal edit reports).
• Provides documentation feedback to physicians.
• Maintains coding reference information.
• Trains physicians and other staff regarding documentation billing and coding.
• Reviews and communicates new or revised billing and coding guidelines and information.
• Attends meetings and roundtable communicates pertinent information to physicians and staff.
• Resolves pre-accounts receivable edits monitors reasons for missed billing opportunities maintains non-compliance logs identifies repetitive problems works with physicians to resolve.
• Deletes incorrectly billed services adds missing unbilled services provides missing data as appropriate corrects CPT and ICD9 codes and modifiers.
• Drafts letters and coordinates appeals.
• Works with Revenue Cycle staff and Account Inquiry Unit staff as requested assists in obtaining documentation (operative reports etc.).
• Provides invoice disposition instruction.
• Provides additional code and modifier information.
• May perform other duties as assigned.

Competencies/Performance Expectations:

• Please refer to NMHC Performance Standard Competencies.
• Maintains up-to-date knowledge understands and implements coding rule updates.
• Exceptional interpersonal skills including the ability to establish and maintain effective relationships with patients physicians management staff and other customers.
• Demonstrated customer service skills including the ability to use appropriate judgment independent thinking and creativity when resolving customer issues.
• Ability to effectively handle challenging situations.
• Ability to balance multiple priorities.
• Excellent verbal and written communication skills.
• Ability to use personal computers and select software applications.
• Ability to analyze data for decision making purposes.
• Strong computer skills including Microsoft Office Outlook and database entry.
• Ability to maintain a high degree of confidentiality.
• Ability to adapt to changes in work environment delays or unexpected events.
• Demonstrates attention to detail and monitors own work for accuracy.

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.

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.

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 :

Yes

Employment Type :

Full-time