Coding Analyst, HB Coding-Part Time (Remote - Must reside in IL, IN, IA, WI, MO) - Day Shift 20 hours
Northwestern Medicine
Summary
The HB Coding Analyst 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.
Job description
Job Description
The HB Coding Analyst 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 HB Coding Analyst 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 and NCCI edits of hard-coded (Chargemaster) and soft-coded (coder assigned) HCPC codes.
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
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
- Expertise in ICD-10-CM diagnosis coding
- Expertise with HCPC Level I and II procedural codes
- Ability to resolve NCD/LCD and NCCI edits
- Knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology
- Minimum 95% coding accuracy
Benefits
- Tuition reimbursement
- Loan forgiveness
- 401(k) matching
- Lifecycle benefits
Company overview
Northwestern Medicine is a premier integrated academic health system and the healthcare network of Northwestern University, headquartered in Chicago, Illinois. Established in 2009 through the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine, the system represents a strategic partnership to transform healthcare delivery. As an academic medical center, Northwestern Medicine encompasses comprehensive research, medical education, and patient care activities across its extensive network. The system operates 11 hospitals and more than 200 locations throughout the Chicagoland area, anchored by its flagship Northwestern Memorial Hospital in downtown Chicago. With over 33,000 employees and more than 4,400 aligned physicians, the organization provides advanced medical care across nearly every specialty. Northwestern Medicine is nationally recognized for its excellence in oncology, cardiology, orthopedics, neurology, and women's health services. The system maintains strong affiliations with the Feinberg School of Medicine, Lurie Children's Hospital, and the Shirley Ryan AbilityLab, fostering an environment of continuous innovation and scientific discovery. Five of its hospitals are ranked among "America's Best" by U.S. News & World Report, reflecting its commitment to superior quality, patient safety, and academic excellence in healthcare delivery.