Outpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Si[...]

Northwestern Medicine; Chicago (IL); Remote; USD 55,000 - 75,000; Full time

Job summary

A leading healthcare provider is seeking an Outpatient Coder II for remote work. The role involves coding outpatient encounters with a focus on accuracy and compliance with ICD-10-CM and CPT guidelines. Ideal candidates will have extensive coding experience and relevant credentials. Join a committed team dedicated to improving healthcare outcomes and enjoy comprehensive benefits.

Benefits

tuition reimbursement

loan forgiveness

401(k) matching

lifecycle benefits

Qualifications

• Credentialed by AHIMA (RHIT, RHIA, or CCS) with ongoing CE requirements.
• 3-4 years of coding experience in an acute healthcare setting.

Responsibilities

• Assign appropriate ICD-10-CM and CPT-4 codes to outpatient visits.
• Utilizes technical coding expertise to ensure accuracy with at least 95% precision.
• Meets minimum coding productivity (90%) and quality standards (95%).

Skills

ICD-10-CM coding

CPT coding

anatomy

physiology

pharmacology

Education

Bachelor’s degree in a related field

Tools

3M Encoder

Job description

Outpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible)

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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. We pride ourselves on providing competitive benefits, including tuition reimbursement, loan forgiveness, 401(k) matching, and lifecycle benefits to support our employees. Ready to join our quest for better?

Job Description
Must reside in IL, IN, IA, or WI.
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 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.
The Outpatient Coder II is an expert in ICD-10-CM diagnosis coding, HCPCS, CPT codes, and modifiers, focusing on complex outpatient encounters such as Observation stays, Same Day Surgery, Surgery Center, and Outpatient in a bed. Requires in-depth knowledge of disease processes, anatomy & physiology, and pharmacology for accurate coding and reimbursement. Also, possesses expanded knowledge of HCPCS, Level I & II Chargemaster, CPT soft codes, and facility modifiers to resolve NCCI Edits. The role builds on the expertise of Coder Associate and Coder I.

Responsibilities:

1. Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visits, reviewing medical records thoroughly and utilizing all documentation.
2. Interprets health record documentation using knowledge of anatomy, physiology, disease processes, pharmacology, and medical terminology to report diagnoses and procedures accurately.
3. Sends physician queries when documentation clarification is needed, follows Coding Clinic guidelines for HCPCS and CPT, and interprets coding conventions to ensure accuracy with at least 95% precision.
4. Focuses on anatomy across the entire body system.
5. Provides technical expertise to analyze system changes, participates in testing software modifications, and identifies opportunities to enhance computer-assisted coding (CAC) systems.
6. Resolves NCCI Edits with approved hospital modifiers.
7. Utilizes 3M Encoder resources to ensure optimal coding accuracy.
8. Articulates rationale for coding choices, especially when prompted by data quality audits.
9. Meets minimum coding productivity (90%) and quality standards (95%) for outpatient encounters.

Qualifications:

• Credentialed by AHIMA (RHIT, RHIA, or CCS) with ongoing CE requirements (20-30 CE hours every two years).
• 3-4 years of coding experience in an acute healthcare setting.
• Ability to work independently with minimal supervision.

Preferred:

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

Additional Information:

Northwestern Medicine is an equal opportunity employer. Employment is contingent upon background checks, which consider criminal convictions on a case-by-case basis, following all applicable guidelines.

Benefits: We offer comprehensive benefits to support our employees’ physical, emotional, and financial well-being. Visit our Benefits section for more details.