Clinical Coder II
Northwestern Memorial Hospital - Chicago, IL

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Northwestern Memorial Hospital and Northwestern Memorial Physician Group applicants for staff level positions:

As part of completing the application process, you will be required to complete an online-assessment which will be sent to your e-mail following the submission of your resume. This questionnaire should take you approximately 45 minutes to 1 hour to complete. Please note that your application will not be considered until there is a finalized assessment on file. If you have previously taken this assessment, you will not be required to take it again. We appreciate your interest in Northwestern Memorial HealthCare.
QUALIFICATIONS: Required: AHIMA coding certification strongly preferred, but will consider RN or CPC.with progressive hospital coding experience. Desired: College degree preferred and 2 years of progressive coding experience.

1st shift, Monday - Friday, 40 hrs/wk

ESSENTIAL FUNCTIONS: Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriateICD-9-CM and CPT-4 codes for billing, internal/external reporting, research and regulatory compliance. Must have extensive knowledge of ICD-9 & CPT nomenclature, inpatient/outpatient reimbursement methodologies and apply coding guidelines as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Under the direction of the Clinical Coding Manager resolve error reports associated with billing process. Identify and report error patterns. When necessary, assist in design and implementation of workflow changes to reduce billing errors. Assist with maintenance of the service master. Review appropriate provider documentation to determine principal diagnosis, co-morbidities/complications, secondary conditions and surgical procedures. Utilize technical coding principals and MS-DRG/APC reimbursement expertise to assign appropriate ICD-9-CM diagnoses and ICD-9-CM/CPT-4 procedures. Identify chargeable items for ED visits and enter into billing system. Assign Present On Admission (POA) value for inpatient diagnoses. Review Case Management/Social Work, Continuity of Care Plan, nursing narrative discharge note and physician order to verify and when necessary, correct the patient disposition. Extracts required information from source documentation and enters into encoder (3M) and abstracting system (ClinTrac). Report unusual incidents through NETS. Identify non-payment conditions (HAC) and when required, report through established procedures. Review daily system generated error reports to correct or complete missing data elements. Assist in implementing solutions to reduce back-end billing errors. Explain coding process to RHIT/RHIA students during affiliations. Fully utilize resources available within 3M encoder product or utilize Internet medical sites to research issues that will ensure accurate code assignment. In addition to applying established coding guidelines, apply relevant Coding Clinic or CPT Assistant advice. Review annual ICD-9-CM Official Guidelines for Coding and Reporting along with review of quarterly Coding Clinic and monthly CPT Assistant and discuss implications to current coding process. Coding & MS-DRG/APC accuracy of 95%. This position requires the ability to review and understand complex medical information to extract the necessary data elements required for billing/reimbursement, reporting, regulatory and research purposes. AA/EOE.

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If you get blown over in the Windy City, Northwestern Memorial HealthCare (NMHC) can get you upright again. Its primary facility,...