Outpatient Coder II

Summary

Join Northwestern Medicine as an Outpatient Coder II and contribute to our mission of providing better healthcare. This role requires residing in IL, IN, IA, or WI. You will utilize your expertise in ICD-10-CM, CPT-4, and HCPCS coding to accurately assign codes to outpatient visits. Responsibilities include reviewing medical records, interpreting documentation, resolving NCCI edits, and utilizing 3M Encoder resources. You must be credentialed by AHIMA with 3-4 years of coding experience in an acute healthcare setting and hold an RHIT, RHIA, or CCS credential. Northwestern Medicine offers competitive benefits, including tuition reimbursement, 401(k) matching, and lifecycle benefits.

Requirements

• Credentialed by the AHIMA (American Health Information Management Association)
• CE requirement to remain credentialed is 20-30 CE's every two years
• 3-4 years of coding experience in an acute healthcare setting
• RHIT, RHIA or CCS credentialed
• Ability to work with minimal supervision

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

Preferred Qualifications

• Bachelor’s degree in related field
• 4 years of coding experience in an acute healthcare setting

Benefits

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