Northwestern Memorial Hospital · 13 hours ago
HB Coding Analyst, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)
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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
Qualification
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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