Inpatient Coder II, HB Coding

Job not on LinkedIn

🔥 1 minute ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $29 - $42 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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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

• Assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient acute-care visits • Assign Present on Admission values to secondary diagnoses for quality metrics and reporting • Review provider notes and Clinical Documentation Improvement findings • Use CAC software to review documentation and select or assign codes • Review discharge planning and nursing documentation to validate discharge disposition • Sequence ICD-10-CM codes within the top 24 fields using MS-DRGs, APR-DRGs, and AHRQ Elixhauser risk adjustment knowledge • Collaborate with CDI on approximately 45% of discharges regarding final MS/APR DRGs and comorbidity diagnoses • Educate CDI on regulatory guidelines, Coding Clinics, and coding conventions • Interpret health record documentation to determine principal diagnosis, secondary diagnoses, and procedures • Follow official ICD-10-CM and ICD-10-PCS guidelines, Coding Clinic guidance, conventions, and instructional notes • Write appeal letters responding to payer DRG downgrade notices • Resolve Nosology Messages/Alerts and Coding Validation warnings/errors • Meet established coding productivity and quality standards • Adhere to Northwestern Medicine’s mission, values, Code of Ethics, Corporate Compliance Program, policies, procedures, regulatory requirements, and accreditation standards

🎯 Requirements

• RHIA, RHIT or CCS credential required • AHIMA membership required • 3 years of inpatient coding experience in an acute healthcare setting required • Associate’s degree in a related field preferred • RHIA or RHIT with CCS or CDIP/CCDS credential preferred • 4 years of inpatient coding experience in a teaching hospital preferred • Strong foundation in ICD-10-CM and ICD-10-PCS coding conventions, instructions, Official Guidelines for Coding and Reporting, and Coding Clinics • Deep understanding of disease process, anatomy/physiology, pharmacology, and medical terminology • Ability to use CAC (Computerized Assisted Coding) software • Knowledge of MS-DRGs, APR-DRGs, and AHRQ Elixhauser risk adjustment • Ability to meet established coding productivity and quality standards • Authorization to complete a criminal background check if offered employment

🏖️ Benefits

• Competitive benefits • Tuition reimbursement • Loan forgiveness • 401(k) matching • Lifecycle benefits • Employee physical, emotional, and financial well-being resources • Protection for unexpected life events