- Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and Management services, bedside procedures and diagnostic tests as needed.
- Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers with a minimum of 95% accuracy.
- Ensures charges are captured by performing various reconciliations (procedure schedules, OR logs and clinical system 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 educational roundtables, communicates pertinent information to physicians and staff.
- Resolves pre-accounts receivable edits. Identifies repetitive documentation problems as well as system issues.
- Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers. Adds MBO tracking codes as needed.
- Collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement expertise; helps identify and resolve incorrect claim issues and is responsible for drafting letters in order to coordinate appeals
- Acts as key point person for Revenue Cycle staff and Account Inquiry Unit staff in obtaining documentation (notes, operative reports, drug treatment plans, etc.). Provides additional code and modifier information to assist with appealing denials. May contact providers for peer-to-peer reviews.
- Meets established minimum coding productivity and quality standards for each encounter type
- May perform other duties as assigned.
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS).
- Zero (0) to two (2) years of experience in a relevant role.
- 94% accuracy on organizations coding test.
- Bachelor's or Associate's degree in a Health Information Management program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM).
- Previous experience with physician coding.
-
Part-time DAYS
4 days ago
Kindred Hospital Chicago North Chicago, United States Part timePart-time DAYS - Registered Nurse, RN - Kindred Hospitals Chicago North · Chicago, Illinois Facility Kindred Hospital Chicago North · Req ID Post Date 06/11/2024 · Description · What makes Kindred Healthcare a great place to work? Our people, of course Our Registered Nurse ...
-
Part-time DAYS
3 days ago
Kindred Chicago Lakeshore Chicago, United States Part timePart-time DAYS - Registered Nurse, RN - Kindred Hospitals Chicago North · What makes Kindred Healthcare a great place to work? Our people, of course Our Registered Nurses answer this special calling because they have a fundamental, internal drive to directly help people. In retur ...
-
Housekeeper, Part-time, days
1 week ago
Felician Sisters of North America Chicago, United States Part timeWe are hiring a part-time Housekeeper on the day shift (Monday/Wednesday/Friday) to help clean and maintain a convent home for elder Franciscan sisters in Chicago area near Lincolnwood and North Park neighborhoods) · GREAT BENEFITS (up to $1000 employee referral bonuses, competi ...
-
Housekeeper, Part-time, days
3 weeks ago
Felician Sisters of North America Chicago, United States Part timeWe are hiring a part-time Housekeeper on the day shift (Monday/Wednesday/Friday) to help clean and maintain a convent home for elder Franciscan sisters in Chicago area near Lincolnwood and North Park neighborhoods)GREAT BENEFITS (up to $1000 employee referral bonuses, competitive ...
-
Mammography Technologist, Full-Time Days
4 weeks ago
UChicago Medicine Chicago, United States Full timeBe a part of a world-class academic health-care system at UChicago Medicine as a Mammography Technologist in the Radiology Breast Imaging Department. · Sign-on Bonus- $7,500 · Under the direction of a Radiologist, produces breast radiographs to aid in the diagnosis and treatment ...
-
Mammography Technologist, Full-Time Days
2 days ago
The University of Chicago Medicine Chicago, United States FT RegularJob Description · Be a part of a world-class academic health-care system at UChicago Medicine as a Mammography Technologist in the Radiology Breast Imaging Department . · Sign-on Bonus- $7,500 · Under the direction of a Radiologist, produces breast radiographs to aid in t ...
-
Northwestern Memorial Healthcare Chicago, United States Full timeJob Description · The Credentialing Verification 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 ...
-
EKG Technician, Full-Time Day
6 days ago
University of Chicago Medical Center Chicago, United States Full timeJob Description · Be a part of a world-class academic health-care system at UChicago Medicine as a EKG Technician (CET) in the Heart Station Adult Department. · The EKG Technician perform EKGs, holter monitors, exercise stress EKGs, pacemaker telephone telemetry monitoring, pacem ...
-
Financial Clearance Specialist, Full Time, Days
4 weeks ago
Northwestern Memorial Healthcare Chicago, United States Full timeJob Description · The Financial Clearance 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 accredi ...
-
Leasing Coordinator Full Time Days
3 weeks ago
Northwestern Memorial Healthcare Chicago, United States Full timeJob Description · The Leasing Coordinator 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 an ...
-
Nurse Clinician-Epilepsy Full-Time Days
3 weeks ago
Northwestern Memorial Healthcare Chicago, United States Full timeJob Description · The Nurse Clinician 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 standard ...
-
Radiographer-MRI, Full-Time Days
4 weeks ago
Northwestern Medicine Chicago, United States Full timeBenefits · * $10,000 Tuition Reimbursement per year ($5,700 part-time) · * $10,000 Student Loan Repayment ($5,000 part-time) · * $1,000 Professional Development per year ($500 part-time) · * $250 Wellbeing Fund per year($125 for part-time) · * Matching 401(k) · * Excellent medica ...
-
Receptionist, Kenwood- Full Time Days
1 day ago
The University of Chicago Medicine Chicago, United States Full timeJob Description: · Join a world-class academic healthcare system, UChicago Medicine Care Network, as a Receptionist at our UChicago Kenwood clinic. · The Receptionist, UCM Care Network, performs day-to-day administrative and general office duties including but not limited to sc ...
-
Radiographer-MRI, Full-Time Days
2 days ago
Northwestern Memorial Healthcare Chicago, United States Full timeJob Description · Job DescriptionCompany 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 ...
-
Respiratory Therapist, Part-time, Days
4 weeks ago
Northwestern Memorial Healthcare Chicago, United States Part timeJob Description · Job DescriptionCompany 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 ...
-
Radiographer-MRI, Full-Time Days
1 week ago
Northwestern Medicine Chicago, United States Full timeBenefits · * $10,000 Tuition Reimbursement per year ($5,700 part-time) · * $10,000 Student Loan Repayment ($5,000 part-time) · * $1,000 Professional Development per year ($500 part-time) · * $250 Wellbeing Fund per year($125 for part-time) · * Matching 401(k) · * Excellent medica ...
-
Biogenetic Informaticist, Full-Time Days
1 day ago
Northwestern Medicine Chicago, United States Full timeThe Biogenetic Informaticist reflects the mission, vision, and values of NM, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and a Operations, Software Developer ...
-
Respiratory Therapist, Part-time, Days
1 week ago
Northwestern Medicine Chicago, United States Part time· The Respiratory Therapist 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 ...
-
Leasing Associate, Full time, Days
4 weeks ago
Northwestern Memorial Healthcare Chicago, United States Full timeJob Description · Job DescriptionCompany 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 ...
-
Financial Counselor, Full Time, Days
5 days ago
Northwestern Medicine Chicago, United States Full timeThe Financial Counselor reflects the mission, vision, and values of NM, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accred Financial, Counselor, Healthca ...
Coding Specialist II, Full Time, Days - Chicago, United States - Northwestern Memorial Healthcare
Description
Job DescriptionThe Coding Specialist II 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 PB Coding Specialist II performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on more complex encounters and/or has expertise with HCPCs procedural codes. This position has deep understanding of disease process, A&P and pharmacology and acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patient's service. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The Coding Specialist II also demonstrates expertise to resolve Optum coding edits.
Responsibilities:
Required:
Preferred:
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.
