Remote Operations Coordinator, PB Coding, Full-time, Days (Remote

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.

The Operations Coordinator, PB Coding 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 Operations Coordinator, PB Coding 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.

Acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patients 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.

Also demonstrates expertise to resolve Optum coding edits.

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.

Ensures charges are captured by performing various reconciliations (procedure schedules, OR logs and clinical system reports) 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.

Resolves pre-accounts receivable edits.

Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers.

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.). Meets established minimum coding productivity and quality standards for each encounter type Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS). ~ 94% accuracy on organization's 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.

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.

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events.