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Coder - Full-time, Days

Northwestern Medicine
Employment type: 
Full time
Remote Position: 
Required degree level: 

Consults and assists physicians with the identification of necessary documentation for appropriate assignment and proper sequencing of diagnoses and procedures codes. Collaborates with patient accounts, registration, case managers and other clinical areas to provide coding reimbursement expertise; identifies and resolves incorrect registration issues. Utilizes clinical and financial applications to obtain patient clinical information for coding purposes. Enters ICD-10 and CPT-4 codes, and abstracts information into the clinical and financial system for final billing. Reconciles OCE and NCCI edits within the 3M 360 Encompass system and EPIC. Analyzes medical records for physician documentation requirements according to state and federal licensing standards, medical staff rules and regulations, Joint Commission standards and departmental policies; flags appropriate physician for chart completion. Reviews medical records for proper identification of complications; performs quality of documentation reviews as needed for the documentation review team or a medical records quality improvement initiative. Additional Responsibilities: Working the RevCycle+ team (3rd party Vendor): Running daily reports: Which will include but not limited to: Total amount of ER patients discharge. Total amount of ER patients received from validating the claims including the total of patients seen daily verses the total of patient received by RevC+. Consulting with RevC+ team regarding missing documentation(s). Work with physician for missing and/or incomplete documentations and signatures. Act as liaison between Vendor and Patient Accounting to address all patient complaints regarding charges and diagnoses. AA/EOE.

Required: RHIT Credentialed by the AHIMA (American Health Information Management Association). CE requirement to remain credentialed is 20-30 CE's every two years. 2 to 3 years of undergraduate education or equivalent. Up to 3 years of related work experience. Good communicator with good customer service skills. Have the ability to work independently. Preferred: Bachelor's Degree.

Northwestern Medicine is dedicated to providing the most advanced healthcare to the communities and patients we serve. The Northwestern Medicine clinical and administrative staff, medical and science faculty and medical students come together everyday with a shared commitment to superior quality, academic excellence, scientific discovery and patient safety.

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