Coding Analyst Associate, Full-time, Days

  • Full-time
  • Job Shift: Day Job (1st)

Company 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 team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

Job Description

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


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.
  • 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

Qualifications

Required: 

  • RHIA, RHIT, CCS, CPC or COC credential
  • AHIMA or AAPC membership

Preferred:

  • Associate’s degree in related field
  • 1 year of outpatient coding experience in a healthcare setting

Additional Information

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.