[Remote] Coding Denials Specialist (Remote - Must reside in IL, IN, IA, or WI)

Note: The job is a remote job and is open to candidates in USA. Northwestern Medicine is a leader in the healthcare industry committed to providing a patient-first approach. The Coding Denials Specialist plays a crucial role in coding medical records, training staff on documentation and billing, and ensuring compliance with coding guidelines.

Responsibilities

• Abstracts and codes physician professional services and diagnosis codes (inpatient admissions, outpatient procedures, diagnostic services)
• Assigns appropriate CPT and ICD9 codes
• Completes coding and billing worksheet
• Ensures charges are captured by performing various reconciliations (procedure schedules, clinical system reports, fatal edit reports)
• Provides documentation feedback to physicians
• 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
• Attends meetings and roundtable, communicates pertinent information to physicians and staff
• Resolves pre-accounts receivable edits, monitors reasons for missed billing opportunities, maintains non-compliance logs, identifies repetitive problems, works with physicians to resolve
• Deletes incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers
• Drafts letters and coordinates appeals
• Works with Revenue Cycle staff and Account Inquiry Unit staff as requested, assists in obtaining documentation (operative reports, etc.)
• Provides invoice disposition instruction
• Provides additional code and modifier information
• May perform other duties as assigned

Skills

• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS)
• Zero (0) to two (2) years' experience in a relevant role
• Bachelor's degree 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

Benefits

• Tuition reimbursement
• Loan forgiveness
• 401(k) matching
• Lifecycle benefits

Company Overview

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