Coding Specialist II

Job not on LinkedIn

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $27 - $39 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

👻 Ghost score 0%

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Northwestern Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $25M Grant on 2018-06

Healthcare • Healthcare Insurance • Pharmaceuticals

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

• Abstract and code physician professional services and diagnosis codes from medical records • Code complex encounters, including anesthesia, operating room and surgical services, invasive procedures, drug infusions, evaluation and management services, bedside procedures, and diagnostic tests • Follow official coding guidelines and assign CPT, ICD10 codes, and modifiers • Capture charges through procedure schedule, operating room log, and clinical system reconciliations • Provide documentation feedback to physicians • Maintain coding reference information • Train physicians and staff on documentation, billing, and coding • Review and communicate new or revised billing and coding guidelines • Attend meetings and educational roundtables and communicate information to physicians and staff • Resolve pre-accounts receivable and Optum coding edits • Identify repetitive documentation and system issues • Correct incorrectly billed services, add missing unbilled services, provide missing data, and update codes, modifiers, and MBO tracking codes • Collaborate with Patient Accounting, PB Billing, Revenue Cycle, and other operational areas on coding and reimbursement issues • Draft appeal letters and assist with resolving incorrect claims and denials • Obtain documentation for Revenue Cycle and Account Inquiry Unit staff • Provide code and modifier information for denial appeals and contact providers for peer-to-peer reviews when needed • Meet established coding productivity and quality standards • Perform other assigned duties

🎯 Requirements

• RHIA, RHIT, CPC, or CCS certification required • 0 to 2 years of experience in a relevant role • Minimum 94% accuracy on the organization’s coding test • Bachelor’s degree or Associate’s degree in a CAHIIM-accredited Health Information Management program preferred • Previous experience with physician coding preferred • Knowledge of CPT and ICD10 coding, HCPCs procedural codes, disease processes, anatomy and physiology, and pharmacology • Ability to assign CPT and ICD10 codes and modifiers with at least 95% accuracy • Up-to-date knowledge of coding rules and updates • Strong computer skills, including Microsoft Office, Outlook, and database entry • Ability to analyze data for decision-making • Ability to maintain confidentiality • Excellent verbal and written communication skills • Ability to balance multiple priorities and handle challenging situations • Attention to detail and adaptability • Successful completion of required background check and authorization/disclosure process

🏖️ Benefits

• Competitive benefits • Tuition reimbursement • Loan forgiveness • 401(k) matching • Lifecycle benefits • Benefits supporting physical, emotional, and financial well-being • Protection for unexpected life events • Sign-on bonus may be offered for the position (eligibility restrictions apply)