Outpatient Coder II, HB Coding Remote - reside in IL, IN,IA, WI, MO - Sign-o

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees.

Ready to join our quest for better?

Required:

3-4 years of coding experience in an acute healthcare settingRHIT, RHIA or CCS credentialed The

reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, interprets ICD-10-CM coding conventions and instructional notes to select appropriate diagnoses with a minimum of 95% accuracy.

Meets established minimum coding productivity per departmental protocol and guidelines. The Outpatient Coder IIis the coding and reimbursement expert with ICD-10-CM diagnosis coding, HCPCS and CPT codes and modifiers. The focus is on complex outpatient encounters that include Observation stays, Same Day Surgery, Surgery Center, and Outpatient in a bed. Should have more in-depth knowledge of disease process, A&P and pharmacology as it relates to the entire body system for accurate coding and reimbursement.

Expanded knowledge with HCPCS, Level I, II Chargemaster and CPT soft codes with approved facility modifiers to resolve NCCI Edits. Coder II should also have the knowledge and expertise of Coder Associate and Coder I.

Responsibilities:

Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types. Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses and procedures

Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures.

Sends appropriate physician queries when required for documentation clarification. Follows

Coding Clinic for HCPCs, CPT Assistant, and interprets coding conventions and instructional notes to select appropriate diagnoses and procedures with a minimum of 95% accuracy

Broad focus of anatomy on entire body system

Provides technical expertise to analyze system related changes and participates in testing of software modifications. Identifies opportunities to enhance CAC (computer assisted coding), i.e. notifying IT liaison of documents filing to Default folder, incorrect system assigned codes, etc.

Resolves NCCI Edits with approved hospital modifiers

Utilizes 3M Encoder resources to ensure optimal coding accuracy

Articulates rationale for coding selections, when necessary, ie. Prompted by results of data quality audit

Meets established minimum coding productivity (90%) and quality standards (95%) for each outpatient encounter type

Required:

Credentialed by the AHIMA (American Health Information Management Association). CE requirement to remain credentialed is 20-30 CE's every two years3-4 years of coding experience in an acute healthcare settingRHIT, RHIA or CCS credentialed

Ability to work with minimal supervision

Preferred:

Bachelor’s degree in related field4 years of coding experience in an acute healthcare setting

Northwestern Medicine…