Northwestern Memorial Healthcare-posted 3 days ago
$26 - $39/Yr
Full-time • Entry Level
Remote • Chicago, IL
5,001-10,000 employees

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

  • 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
  • RHIA, RHIT, CCS, CPC or COC credential
  • AHIMA or AAPC membership
  • Associate’s degree in related field
  • 1 year of outpatient coding experience in a healthcare setting
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