Coding Specialist II, PB Coding

🕒 May 21

🐊 Florida, Illinois, +5 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🏈 Ohio – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🧀 Wisconsin – Remote

💵 $27 - $39 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Northwestern Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🧘 Wellness

💰 $25M Grant on 2018-06

Healthcare Insurance • Pharmaceuticals • Wellness

Northwestern Medicine is a renowned healthcare provider offering a wide range of medical services, including COVID-19 and flu vaccinations, cutting-edge treatments, and pioneering surgical procedures. The organization is deeply involved in clinical research, contributing to significant medical advancements such as exploring the causes of diseases like lupus and breakthroughs in cancer treatment. With a robust network of hospitals and specialized care centers, Northwestern Medicine is dedicated to patient wellness, community impact, and medical education. They emphasize accessibility, patient safety, and convenience through services like telehealth, financial assistance, and multilingual support. Whether it's immediate care, advanced procedures, or multidisciplinary care for complex conditions, Northwestern Medicine is committed to leading the way in healthcare innovation and patient-centered care.

📋 Description

• Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). • Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers with a minimum of 95% accuracy. • Ensures charges are captured by performing various reconciliations (procedure schedules, OR logs and clinical system 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. • Attends meetings and educational roundtables, communicates pertinent information to physicians and staff. • Resolves pre-accounts receivable edits. Identifies repetitive documentation problems as well as system issues. • Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers. Adds MBO tracking codes as needed. • Collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement expertise; helps identify and resolve incorrect claim issues and is responsible for drafting letters in order to coordinate appeals. • Acts as key point person for Revenue Cycle staff and Account Inquiry Unit staff in obtaining documentation (notes, operative reports, drug treatment plans, etc.). Provides additional code and modifier information to assist with appealing denials. May contact providers for peer-to-peer reviews. • Meets established minimum coding productivity and quality standards for each encounter type. • May perform other duties as assigned.

🎯 Requirements

• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS). • Zero (0) to two (2) years’ experience in a relevant role. • 94% accuracy on organization’s coding test.

🏖️ Benefits

• tuition reimbursement • loan forgiveness • 401(k) matching • lifecycle benefits