Coding Analyst

Summary

Join Northwestern Medicine as a HB Coding Analyst and become our coding and reimbursement expert in ICD-10-CM diagnosis coding and HCPC Level I and II procedural codes. You will utilize your technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types and Evaluation and Management codes for physician encounters. Thoroughly review medical records to code appropriate diagnoses, procedures, and services, collaborating with various departments to provide coding reimbursement expertise. Interpret health record documentation using your knowledge of anatomy, physiology, and medical terminology, ensuring accuracy in coding and resolving claim failures. Meet established coding productivity and quality standards. Northwestern Medicine offers competitive benefits, including tuition reimbursement, loan forgiveness, 401(k) matching, and lifecycle benefits.

Requirements

• 3 years of experience in acute healthcare setting
• RHIT or RHIA or CCS or CCS-P or COC or CPC
• AHIMA or AAPC membership

Responsibilities

• Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
• Utilizes technical coding expertise to assign Evaluation and Management codes for physician encounters
• Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses, procedures, and evaluation and management services
• Collaborates with Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise
• 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 NCCI, NCD/LCD or other outpatient edit claim failures as assigned
• Meets established minimum coding productivity and quality standards for each outpatient encounter type
• Other duties as assigned

Preferred Qualifications

• RHIA/RHIT with CCS, CCS-P, COC, CPC
• 4 years’ experience in acute healthcare setting
• 4 years’ experience in a professional setting

Benefits

• 401(k) matching
• Tuition reimbursement
• Loan forgiveness
• Lifecycle benefits