Northwestern Medicine

Therapist

• Provides direct patient care
• Participates in committees and departmental process improvement
• Demonstrates teamwork by helping co-workers
• Communicates effectively with others
• Maintains primary responsibility over patient plans of care
• Participates in opportunities for continuous improvement

Physical Therapist – Telehealth, Part-time

• Provide direct patient care
• Adhere to organization’s Code of Ethics and Corporate Compliance Program
• Maintain primary responsibility over patient plan of care
• Demonstrate teamwork and communication with co-workers
• Participate in departmental process improvement

Physical Therapist, Telehealth – Casual

Patient Access Specialist

• Consistently practices Patients First philosophy and adheres to high standards of customer service.
• Responds to questions and concerns.
• Maintains patient confidentiality per HIPAA regulations.
• Provides exceptional customer service to patients.
• Correctly identifies and collects patient demographic information in accordance with organization standards.
• Reaches out to patients to schedule appointments.
• Completes other duties assigned by manager.
• Participates in Quality Assurance reviews to ensure integrity of patient data information.
• Uses effective service recovery skills to solve problems when they occur.

• Consistently practices Patients First philosophy and adheres to high standards of customer service
• Responds to questions and concerns
• Maintains patient confidentiality per HIPAA regulations
• Provides exceptional customer service to patients
• Correctly identifies and collects patient demographic information
• Interacts with various hospital departments and physicians offices
• Reaches out to patients to schedule an appointment
• Performs medical necessity checks as necessary
• Informs patients of any issues with securing financial account
• Completes out-of-pocket estimations as requested

• Instructs and prepares patients for radiation therapy or simulations
• Demonstrates overall knowledge of treatments and use of pertinent equipment
• Prepares supplies and equipment necessary for positioning and accuracy of treatment
• Assesses patient pain interfering with treatments
• Rooms patients and provides direct patient care under the supervision of a physician, and/or direction of an RN/LPN
• Records medical histories
• Prepares patients for treatments and considers specific patient needs; administers care according to individual age and abilities
• Adheres to all departmental and radiation safety policies and procedures
• Maintains infection control standards for treatment/procedure rooms and areas where patient care services are delivered

Radiation Therapist – Outpatient

• Instructs and prepares patients for radiation therapy or simulations
• Demonstrates overall knowledge of treatments and use of pertinent equipment
• Prepare supplies and equipment necessary for positioning and accuracy of treatment
• Assesses patient pain interfering with treatments
• Make appropriate physician contact for intervention
• Rooms patients and provides direct patient care under the supervision of a physician, and/or direction of an RN/LPN
• Records medical histories
• Prepares patients for treatments and considers specific patient needs; administers care according to individual age and abilities
• Adheres to all departmental and radiation safety policies and procedures
• Maintains infection control standards for treatment/procedure rooms and areas where patient care services are delivered

Radiation Therapist – Outpatient, Full-time, Days

• Provide direct patient care
• Maintain patient plan of care
• Adjust treatment plans based on evaluations
• Participate in departmental process improvement
• Collaborate with healthcare team members

Physical Therapist – Telehealth, Full-time

Speech Language Pathologist

• Reflects the mission, vision, and values of NM
• Adheres to the organization’s Code of Ethics
• Complies with all relevant policies, procedures, guidelines
• Includes direct patient care
• Serves as a role model for all therapists and clinical interns

Speech-Language Pathologist – Neurotrauma Clinic Registry

Analyst

• Reflects the mission, vision, and values of Northwestern Medicine
• Adheres to the organization's Code of Ethics and Corporate Compliance Program
• Complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards
• Work directly with the Revenue Integrity Senior Analyst to support the Clinical Department and revenue cycle and perform charge capture analysis including annual price increase analysis
• Maintain the charge master to ensure compliance, accuracy, and consistency for Northwestern Medicine
• Perform daily maintenance and quarterly audits of the EAP
• Prepare necessary files for the EAP database of required department builds
• Identify charge capture opportunities or compliance issues in revenue producing departments
• Research billing and coding regulations
• Communicate and assist in implement any necessary changes to impacted area that affect policy, financial, charge capture, patient care, billing, and coding operations
• Assist in quarterly audits on the charge master data elements
• Review departmental front-end charge capture tools for accuracy
• Take necessary action to ensure accurate charging on patient accounts
• Support complex audits and prepares methodology for annual pricing review and coding changes
• Liaison with Revenue Cycle, IT and clinical departments to link EPIC and charge master
• Consistently deliver concrete, relevant results
• Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies
• Protect operations by keeping financial and patient information confidential
• Support the finance operations of Northwestern Medicine

Revenue Integrity Analyst

Medical Billing and Coding

• Utilize technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types.
• Review the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses and procedures.
• Interpret health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures.
• Send appropriate physician queries when required for documentation clarification.
• Follow Coding Clinic for HCPCs, CPT Assistant, and interpret coding conventions and instructional notes to select appropriate diagnoses and procedures with a minimum of 95% accuracy.

Outpatient Coder II, HB Coding

Reviewer

• Responsible for utilization review calls within BHS, including precertification, continued stay review, discharge reviews, and retrospective reviews and appeals.
• Works closely with business office staff, clinical staff, and physicians to advocate for BHS patients with insurance and managed care companies.
• Communicates insurance input to physicians and clinical staff making discharge plans for patients.
• Assists clinical staff with assessments as needed, primarily as in a back-up capacity.
• Communicates daily with Utilization Review Coordinator, and as needed with business office and admissions staff to understand admissions and transfers, patient benefit information, and precertification status.
• Understands health care benefit plan provisions and managed care contracting.
• Communicates and coordinates efforts at appealing unfavorable utilization review decisions.

Utilization Reviewer, Behavioral Health

• Responsible for utilization review calls within BHS
• Advocate for BHS patients with insurance and managed care companies
• Communicates insurance input to physicians and clinical staff
• Assists clinical staff with assessments as needed
• Communicates daily with Utilization Review Coordinator
• Understands health care benefit plan provisions and managed care contracting

Utilization Reviewer – Behavioral Health

• Consistently practices Patients First philosophy and adheres to high standards of customer service
• Responds to questions and concerns
• Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary
• Maintains patient confidentiality per HIPAA regulations
• Provides exceptional customer service to patients
• Exceeds all consumer requests and alerts management of issues
• Correctly identifies and collects patient demographic information
• Interacts with various hospital departments and physicians' offices
• Reaches out to patients to schedule appointments
• Performs medical necessity checks
• Informs patients of financial account issues
• Completes out-of-pocket estimations as requested
• Provides training and education as needed
• Manages work schedule efficiently

Patient Access Specialist, Full time Days

• 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
• Resolves pre-accounts receivable edits and monitors reasons for missed billing opportunities

Coding Specialist

Financial Planning and Analysis

• Consistently practices Patients First philosophy and adheres to high standards of customer service
• Maintains patient confidentiality per HIPAA regulations
• Provides exceptional customer service to consumers which establish a positive first impression of Northwestern Medicine
• Correctly identifies and collects patient demographic information in accordance with organization standards
• Monitors admission/registration and scheduled surgeries flow of patient information through the revenue cycle
• Facilitates the pre-authorization of diagnostic exams between referring physicians and insurance carriers
• Ensures all admissions and scheduled surgeries are financially cleared to allow for maximum and timely reimbursement to the hospital

Physical Therapist – Telehealth, Part-time

Physical Therapist, Telehealth – Casual

Patient Access Specialist

Patient Access Specialist

Radiation Therapist – Outpatient

Radiation Therapist – Outpatient, Full-time, Days

Physical Therapist – Telehealth, Full-time

Speech-Language Pathologist – Neurotrauma Clinic Registry

Revenue Integrity Analyst

Outpatient Coder II, HB Coding

Utilization Reviewer, Behavioral Health

Utilization Reviewer – Behavioral Health

Patient Access Specialist, Full time Days

Coding Specialist

Financial Clearance Specialist