[Hiring] Outpatient Coder II @Northwestern Memorial Healthcare

Role Description

The Outpatient Coder 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.

• Follows ICD-10-CM Official Guidelines for Coding and Reporting.
• Interprets ICD-10-CM coding conventions and instructional notes to select appropriate diagnoses with a minimum of 95% accuracy.
• Meets established minimum coding productivity per departmental protocol and guidelines.
• Is the coding and reimbursement expert with ICD-10-CM diagnosis coding, HCPCS, and CPT codes and modifiers.
• Focuses on complex outpatient encounters including Observation stays, Same Day Surgery, Surgery Center, and Outpatient in a bed.
• Possesses in-depth knowledge of disease process, A&P, and pharmacology for accurate coding and reimbursement.
• Has expanded knowledge with HCPCS, Level I, II Chargemaster, and CPT soft codes with approved facility modifiers to resolve NCCI Edits.
• Should also have knowledge and expertise of Coder Associate and Coder I.

• 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.
• Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology.
• Sends appropriate physician queries when required for documentation clarification.
• Follows Coding Clinic for HCPCs, CPT Assistant, and interprets coding conventions and instructional notes.
• Provides technical expertise to analyze system-related changes and participates in testing of software modifications.
• Identifies opportunities to enhance CAC (computer-assisted coding).
• Resolves NCCI Edits with approved hospital modifiers.
• Utilizes 3M Encoder resources to ensure optimal coding accuracy.
• Articulates rationale for coding selections when necessary.
• Meets established minimum coding productivity (90%) and quality standards (95%) for each outpatient encounter type.

Qualifications

• Credentialed by the AHIMA (American Health Information Management Association).
• CE requirement to remain credentialed is 20-30 CE's every two years.
• 3-4 years of coding experience in an acute healthcare setting.
• RHIT, RHIA, or CCS credentialed.
• Ability to work with minimal supervision.

• Preferred: Bachelor’s degree in related field.
• 4 years of coding experience in an acute healthcare setting.

Benefits

• Wide range of benefits to improve physical, emotional, and financial well-being.
• Protection for unexpected life events.
• For detailed benefits information, visit: Benefits Information .