Remote Coding Analyst – ICD-10 & CPT Specialist

Northwestern Memorial Healthcare; Springfield (IL); Remote; USD 39,000 - 54,000; Part time

Benefits offered by this job

Tuition reimbursement

Loan forgiveness

401(k) matching

Lifecycle benefits

Job summary

Northwestern Medicine is seeking an HB Coding Analyst to serve as the coding and reimbursement expert in ICD-10-CM and HCPC coding, with HCPC Level I and II proficiency. The role requires knowledge of NCD/LCD, NCCI edits, and accurate coding for outpatient visits and E/M services.

The position is part-time, 20 hours per week, with a focus on maintaining high accuracy and collaborating with the care team to optimize reimbursement.

Qualifications

• 3 years of experience in acute healthcare setting
• RHIT or RHIA or CCS or CCS-P or COC or CPCA
• AAPC membership

Responsibilities

• Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
• Utilizes technical coding expertise to assign Evaluation and Management codes for physician encounters
• Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses, procedures, and evaluation and management services
• Collaborates with Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise
• 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 NCCI, NCD/LCD or other outpatient edit claim failures as assigned
• Meets established minimum coding productivity and quality standards for each outpatient encounter type
• Other duties as assigned

Education

RHIT or RHIA or CCS or CCS-P or COC or CPCA

AAPC membership

Job description

Northwestern Medicine is seeking an HB Coding Analyst to serve as the coding and reimbursement expert in ICD-10-CM and HCPC coding, with HCPC Level I and II proficiency. The role requires knowledge of NCD/LCD, NCCI edits, and accurate coding for outpatient visits and E/M services.

The position is part-time, 20 hours per week, with a focus on maintaining high accuracy and collaborating with the care team to optimize reimbursement.