Coding Analyst
Northwestern Medicine
Coding Analyst
Northwestern Medicine
full-time
Posted on:
Origin: • 🇺🇸 United States • Illinois, Iowa, Wisconsin
Visit company websiteSalary
💰 $27 - $38 per hour
Job Level
Mid-LevelSenior
About the role
- Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
- Utilizes technical coding expertise to assign Evaluation and Management codes for physician encounters
- Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses, procedures, and evaluation and management services
- Collaborates with 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 and procedures with a minimum of 95% accuracy
- Resolves NCCI, NCD/LCD or other outpatient edit claim failures as assigned
- Meets established minimum coding productivity and quality standards for each outpatient encounter type
- Other duties as assigned
Requirements
- 3 years of experience in acute healthcare setting
- RHIT or RHIA or CCS or CCS-P or COC or CPC (required)
- AHIMA or AAPC membership (required)
- Preferred: RHIA/RHIT with CCS, CCS-P, COC, CPC
- Preferred: 4 years’ experience in acute healthcare setting
- Preferred: 4 years’ experience in a professional setting
- Expertise in ICD-10-CM diagnosis coding and HCPC Level I and II procedural codes
- Ability to resolve NCD/LCD and NCCI edits of hard-coded (Chargemaster) and soft-coded (coder assigned) HCPC codes
- Ability to assign Evaluation and Management codes for physician encounters
- Knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology
- Familiarity with ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic, CPT Assistant, and coding conventions
