Coding Specialist I, PB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)

Job Description

Job Description

Company Description

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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits : from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

Job Description

The Coding Specialist 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.

The Coding Specialist performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 9 (ICD9) coding through abstraction of the medical record. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the role’s core function.

Responsibilities :

• Abstracts and codes physician professional services and diagnosis codes (inpatient admissions, outpatient procedures, diagnostic services).
• Assigns appropriate CPT and ICD9 codes.
• Completes coding and billing worksheet.
• Ensures charges are captured by performing various reconciliations (procedure schedules, clinical system reports, fatal edit 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 roundtable, communicates pertinent information to physicians and staff.
• Resolves pre-accounts receivable edits, monitors reasons for missed billing opportunities, maintains non-compliance logs, identifies repetitive problems, works with physicians to resolve.
• Deletes incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers.
• Drafts letters and coordinates appeals.
• Works with Revenue Cycle staff and Account Inquiry Unit staff as requested, assists in obtaining documentation (operative reports, etc.).
• Provides invoice disposition instruction.
• Provides additional code and modifier information.
• May perform other duties as assigned.

Competencies / Performance Expectations :

Qualifications

Required :

Preferred :

Additional Information

Northwestern Medicine is an affirmative action / equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.