Remote work from Illinois, Wisconsin, Indiana, and Iowa
Description
The Coding Analyst Associate reflects the mission, vision, and values of Northwestern Memorial, 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 Analyst Associate is the coding and reimbursement expert in ICD-10-CM diagnosis coding and has expertise with HCPC Level I and II procedural codes. Also demonstrates expertise to resolve NCD/LCD claim edits.
This position is 100% remote
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.
- Collaborates with Orders Management Unit (OMU) and other coding divisions for NCD/LCD edit resolution.
- Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures
- Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant, interprets coding conventions and instructional notes to select appropriate diagnoses and procedures with a minimum of 95% accuracy
- Resolves NCD/LCD or other outpatient edit claim failures as assigned
- Meets established minimum coding productivity and quality standards for each outpatient encounter type
- Review and analyze dashboard to derive conclusions and determine opportunities for improvement
- Other duties as assigned
Qualifications
Required:
- RHIA, RHIT, CCS, CPC or COC credential
- AHIMA or AAPC membership
Preferred:
- Associate’s degree in related field
- 1 year of outpatient coding experience in a healthcare setting
Equal Opportunity
Northwestern Medicine is an equal opportunity employer (disability, VETS) 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.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
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.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
