Clinical Coder II- Inpatient Coding, Full-time, Days
Northwestern Medicine – Chicago, IL
ESSENTIAL FUNCTIONS: 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 Patient Accounting, Registration, case managers and other clinical areas to provide coding reimbursement expertise; identifies and resolves incorrect registration issues. 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. The quality management plan currently is a combination of current and retrospective review of charts by a designated clinical coder. AA/EOE QUALIFICATIONS:
- Required: RHIA/RHIT or CCS, CCS-P,CPC, COC or CIRCC.
- Requires intermediate level of understanding of coding guidelines and principles as it relates to reporting diagnosis codes for outpatient encounters.
- Intermediate knowledge of Level I and II HCPCS codes. If CCS, CCS-P, CPC, COC or CIRCC requires two years of related work experience coding with HCPC Level I surgical procedures if applying for position that codes observation, same day surgery or other complex procedural encounters.