Northwestern Medicine · 2 weeks ago
HB Coding Analyst, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)
United States
Full-time
Remote
Mid Level
3+ years expNorthwestern Medicine is a leader in the healthcare industry, committed to providing a patient-first approach. The HB Coding Analyst role involves coding and reimbursement expertise in ICD-10-CM diagnosis coding, collaborating with various departments to ensure accurate coding and reimbursement processes.
Emergency MedicineHealth CareHospitalMedicalNutritionRehabilitation
Responsibilities
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
Strong Knowledge of Microsoft: Excel, PowerPoint, Word, Project, Visio
Demonstrates analysis and problem-solving skills
Collaborates with other team members (Coding division Managers and Operation Coordinators)
Excellent oral and written communication skills
Experience in working both independently and in a team-oriented, collaborative environment
Experience in project management
Demonstrates ability in presenting data in a clear and concise manner utilizing PowerPoint tools
Demonstrates excellent proof-reading skills used in meeting high quality standards
Basic understanding of the healthcare Revenue Cycle including account workflows, claim submission and denial process
Demonstrates ability to write payer appeals (specifically for DRG Downgrades)
Analyze, track and interpret Coding, Clinical Documentation and Revenue Cycle (Denial) data to support efforts in efficiently diminishing payer denials
Demonstrates ability to analyze and manipulate large amounts of data
Supports leadership’s strategic, financial and operational decision-making
Collaborate with leadership to fulfill requests in support of business and clinical objectives
Maintain a portfolio of monthly reports, dashboards and ad hoc reports as requested
Through the use of data analytics identify trends and opportunities for improvement
Utilize Microsoft applications to communicate results to requestor
Support management in Epic build decisions
Assists in management of Service Now tickets submitted by Hospital Coding
Assesses Epic & Solventum CAC functionality enhancements to align with Coding workflows
Subject matter expert for Coding in the use of CAC and Epic coding workflows
Remains current on all upgrades and provides upgrade information to management through written communication or by demonstration
Maintains and submits a weekly Service Now ticket report with status update
Qualification
Required
3 years of experience in acute healthcare setting
RHIT or RHIA or CCS or CCS-P or COC or CPC
AHIMA or AAPC membership
Preferred
RHIA/RHIT with CCS, CCS-P, COC, CPC
4 years' experience in acute healthcare setting
4 years' experience in a professional setting
Benefits
Tuition reimbursement
Loan forgiveness
401(k) matching
Lifecycle benefits
Company
Northwestern Medicine
Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine around a strategic vision to transform the future of health care.
10001+ employees
H1B Sponsorship
Northwestern Medicine has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (75)
2024 (66)
2023 (70)
2022 (78)
2021 (35)
2020 (39)
Funding
Current Stage
Late StageTotal Funding
$25M2018-06-26Grant· $25M
Leadership Team
Howard Chrisman, MD
President and CEO
John A. Orsini, CPA
Senior Vice President and Chief Financial Officer
Recent News
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