Northwestern Medicine
HB Coding Analyst, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)
Northwestern Medicine, Chicago, Illinois, United States, 60290
HB Coding Analyst, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient‑first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you will help advance better health care no matter where you work within the Northwestern Medicine system.
Job Description The
HB Coding Analyst
is the coding and reimbursement expert in ICD‑10‑CM diagnosis coding and has expertise with HCPC Level I and II procedural codes. The analyst also resolves edits such as NCD/LCD and NCCI on hard‑coded (Chargemaster) and soft‑coded (coder assigned) HCPC codes and ensures coding quality and compliance with all relevant policies and accreditation standards.
Responsibilities
Utilize technical coding expertise to assign appropriate ICD‑10‑CM and CPT‑4 codes to outpatient visit types.
Utilize technical coding expertise to assign Evaluation and Management codes for physician encounters.
Review the medical record thoroughly, using all available documentation to code appropriate diagnoses, procedures, and evaluation and management services.
Collaborate with Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise.
Interpret health record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures.
Follow ICD‑10‑CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant, and other instruction notes to select appropriate diagnoses and procedures with a minimum of 95 % accuracy.
Resolve NCCI, NCD/LCD or other outpatient edit claim failures as assigned.
Meet established minimum coding productivity and quality standards for each outpatient encounter type.
Perform other duties as assigned.
Qualifications Required
3 years of experience in an acute healthcare setting.
RHIT or RHIA or CCS or CCS‑P or COC or CPC certification.
AHIMA or AAPC membership.
Preferred
RHIA/RHIT with CCS, CCS‑P, COC, CPC.
4 years’ experience in an acute healthcare setting.
4 years’ experience in a professional setting.
Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case‑by‑case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
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 protecting against unexpected life events. Please visit our Benefits section to learn more.
Sign‑on Bonus Eligibility Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign‑on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending on the job family.
Equal Opportunity Employer Northwestern Medicine is an equal opportunity employer (disabled, VETS) 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.
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Job Description The
HB Coding Analyst
is the coding and reimbursement expert in ICD‑10‑CM diagnosis coding and has expertise with HCPC Level I and II procedural codes. The analyst also resolves edits such as NCD/LCD and NCCI on hard‑coded (Chargemaster) and soft‑coded (coder assigned) HCPC codes and ensures coding quality and compliance with all relevant policies and accreditation standards.
Responsibilities
Utilize technical coding expertise to assign appropriate ICD‑10‑CM and CPT‑4 codes to outpatient visit types.
Utilize technical coding expertise to assign Evaluation and Management codes for physician encounters.
Review the medical record thoroughly, using all available documentation to code appropriate diagnoses, procedures, and evaluation and management services.
Collaborate with Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise.
Interpret health record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures.
Follow ICD‑10‑CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant, and other instruction notes to select appropriate diagnoses and procedures with a minimum of 95 % accuracy.
Resolve NCCI, NCD/LCD or other outpatient edit claim failures as assigned.
Meet established minimum coding productivity and quality standards for each outpatient encounter type.
Perform other duties as assigned.
Qualifications Required
3 years of experience in an acute healthcare setting.
RHIT or RHIA or CCS or CCS‑P or COC or CPC certification.
AHIMA or AAPC membership.
Preferred
RHIA/RHIT with CCS, CCS‑P, COC, CPC.
4 years’ experience in an acute healthcare setting.
4 years’ experience in a professional setting.
Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case‑by‑case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
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 protecting against unexpected life events. Please visit our Benefits section to learn more.
Sign‑on Bonus Eligibility Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign‑on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending on the job family.
Equal Opportunity Employer Northwestern Medicine is an equal opportunity employer (disabled, VETS) 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.
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