Northwestern Medicine

Coding Specialist I, PB Coding

Northwestern Medicine

full-time

Posted on:

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

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Salary

💰 $25 - $37 per hour

Job Level

SeniorLead

About the role

  • Performs CPT and ICD10 coding through abstraction of the medical record with a focus on Evaluation and Management services
  • Utilizes technical coding expertise to review the medical record thoroughly and assign appropriate CPT, ICD10 codes and modifiers
  • 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 and attends meetings and educational roundtables
  • Resolves pre-accounts receivable edits and Optum coding edits; makes appropriate changes to incorrectly billed services and adds missing unbilled services
  • Identifies and reports repetitive documentation problems and system issues
  • Collaborates with Patient Accounting, PB Billing, Revenue Cycle and Account Inquiry Unit staff to provide coding reimbursement assistance and resolve claim issues
  • Meets established minimum coding productivity and quality standards and may perform other duties as assigned

Requirements

  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS)
  • Zero (0) to two (2) years experience in a relevant role
  • 94% accuracy on organization's coding test
  • Ability to follow Official Guidelines to assign appropriate CPT and ICD10 codes and modifiers with a minimum of 95% accuracy
  • Understanding and knowledge to resolve Optum coding edits
  • Must reside in Illinois, Indiana, Iowa, or Wisconsin
  • Preferred: Bachelor's degree or Associate's degree in a Health Information Management program accredited by CAHIIM
  • Preferred: Previous experience with physician coding
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