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Northwestern Memorial Hospital · 3 weeks ago

Coding Analyst Associate, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL)

United States

Full-time

Remote

Entry Level

1+ years exp

Northwestern Memorial Hospital is committed to delivering world-class care through a community of purpose-driven colleagues. The Coding Analyst Associate role involves coding and reimbursement expertise in ICD-10-CM diagnosis coding and HCPC procedural codes, ensuring compliance with relevant guidelines and standards.

Health Care

Responsibilities

Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types

Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses and procedures

Collaborates with Orders Management Unit (OMU) and other coding divisions for NCD/LCD edit resolution

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 NCD/LCD or other outpatient edit claim failures as assigned

Meets established minimum coding productivity and quality standards for each outpatient encounter type

Review and analyze dashboard to derive conclusions and determine opportunities for improvement

Other duties as assigned

Qualification

ICD-10-CM codingCPT-4 codingNCD/LCD claim resolutionRHIA credentialRHIT credentialCCS credentialCPC credentialCOC credentialAHIMA membershipAAPC membershipMedical terminologyAnatomy knowledgePhysiology knowledgeClinical disease process knowledgePharmacology knowledge