Northwestern Medicine

Coding Specialist II, PB Coding

Northwestern Medicine

full-time

Posted on:

Origin:  • 🇺🇸 United States • Illinois, Iowa, Wisconsin

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Salary

💰 $24 - $35 per hour

Job Level

SeniorLead

About the role

  • Performs CPT and ICD10 coding through abstraction of the medical record with focus on more complex encounters and/or HCPCs procedural codes
  • Reviews the medical record thoroughly and codes physician professional services and diagnosis codes including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters
  • Follows Official Guidelines and rules to assign CPT, ICD10 codes and modifiers with minimum 95% accuracy
  • Ensures charges are captured by performing various reconciliations
  • Provides documentation feedback to physicians and trains physicians and other staff regarding documentation, billing and coding
  • Reviews and communicates new or revised billing and coding guidelines
  • Resolves pre-accounts receivable edits and collaborates with Patient Accounting, PB Billing, and other operational areas
  • Acts as key point person for Revenue Cycle staff and Account Inquiry Unit staff in obtaining documentation
  • May contact providers for peer-to-peer reviews
  • Meets established minimum coding productivity and quality standards

Requirements

  • 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 of experience in a relevant role
  • 94% accuracy on organizations coding test