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Coder Ii Jobs

Northwestern Medicine

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Coder II - Inpatient Coder 

Coder II

Inpatient coder with CCS/RHIT/RHIA preferred; ICD-10-CM/PCS knowledge; 1 year hospital coding; AHIMA credentialing; high school diploma minimum; proficient in MS Office and Epic EMR.

DepartmentBSD UCP - Professional Billing Coding - Medical Specialty About the DepartmentThe Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes. The BSD is located on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The University of Chicago Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty practicing at the University of Chicago. These clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). The University of Chicago Physicians' Group (UCPG) is a component of the physician practice plan for the University of Chicago. The UCPG department provides billing services for medical services provided by University physicians and manages the accounts receivable collection and reporting processes for the Biological Sciences Division (BSD) departments. Each physician is a faculty member and is based in a specified department in the BSD. Job InformationJob Summary:The Abstractor/Coder II performs complex, specialty-specific coding in support of orthopedic practices across multiple locations. This role applies advanced knowledge of CPT, ICD-10, and HCPCS coding systems, along with payer and regulatory requirements, to ensure accurate, compliant charge capture and documentation.Working with minimal supervision, the Abstractor/Coder II codes highly complex services, resolves coding edits, denials, and rejections, and partners with providers to improve documentation and optimize reimbursement. The role serves as a subject matter expert to clinical staff and supports revenue integrity through issue resolution and education.This position also contributes to quality and compliance efforts by identifying coding trends and risks, conducting reviews, and supporting training initiatives. The Abstractor/Coder II mentors less experienced coders and adheres to all HIPAA and organizational standards.Responsibilities:<ul><li>Maintains an expert level of knowledge of CPT, ICD-10 and HCPCS coding principles, modifier usage, medical terminology, HIPAA compliance, governmental regulations and third-party payer requirements pertaining to billing, coding and documentation.</li><li>Codes highly complex services in orthopedic specialty, maintaining departmental standards for productivity and accuracy.</li><li>Works under minimal supervision using specialized expertise in the subject matter.</li><li>Ensures all services documented in the patient’s medical record are coded with appropriate diagnoses and procedure codes. When services are not documented appropriately, seeks to attain proper documentation in a timely manner based upon established protocols.</li><li>Researches and resolves coding related system edits, payer rejections, and insurance denials.</li><li>Acts as a knowledge resource to clinical staff in billing code matters. Provides feedback to providers on how to improve documentation and charge capture to ensure revenue optimization.</li><li>Identifies risk areas and error trends for providers, procedures, facilities and/or coders.</li><li>Understands HIPPA regulations, treats all patient information and data with complete confidentiality and takes all precaution to secure this information.</li><li>Escalates issues as appropriate (e.g., to Director of Revenue or Compliance Office).</li><li>Serves as a mentor and trainer to less experienced coders and answers questions as needed.</li><li>Works with Director or Associate Director to implement training plans for new coders and coders learning new specialties.  </li><li>Performs quality reviews.</li><li>Other duties as assigned.</li></ul>Competencies:<ul><li>Ability to work well with other members of the coding and billing team to ensure maximum efficiency and reimbursement of properly documented services.</li><li>Ability to communicate in a professional and collaborative manner.</li><li>Maintain calm and courteous demeanor while working with less experienced staff.</li><li>Ability to work in a fast-paced department and handle multiple tasks.</li></ul>Additional ResponsibilitiesEducation, Experience, or Certifications:Education:<ul><li>High School Diploma or equivalent required.</li><li>Associates or Bachelors degree preferred.</li></ul>Experience:<ul><li>5 years of coding experience with 3 or more years coding highly complex services in area of specialty required.   </li><li>4 years of experience coding physician services or a recent graduate from an HIM bachelors program with an RHIA required.</li><li>Prior experience with electronic billing and medical record systems (i.e. Epic, Last Word, and IDX) is required.</li><li>Prior experience in an academic medical center or large, complex hospital-physician billing group preferred.</li><li>Prior experience working with Medicine primary and sub-specialty physician and procedure coding strongly preferred.</li><li>Prior experience with Epic Professional Billing preferred.</li><li>Prior experience coding in an academic medical center setting preferred.</li></ul>Licenses and Certifications:<ul><li>Must have one of the following: Registered Health Information Administrator [RHIA], Registered Health Information Technician [RHIT], Certified Coding Specialist-Physician-based [CCS-P], Certified Professional Coder [CPC], or Certified Coding Specialist [CCS]), required.</li><li>Specialty certification preferred.</li></ul>Technical Knowledge or Skills:<ul><li>Proficiency with Microsoft Office suite required.</li><li>Knowledge and experience of billing and coding practices required.</li></ul>Working Conditions and Physical Requirements:<ul><li>Standard Office Environment: Remote.</li><li>Use Standard Office Equipment.</li><li>Sit for 4 hours or more.</li><li>Flexible work arrangements, including remote work options for coders in good standing.</li></ul>Pay Range:<ul><li>$29.97 - $45.59 hourly</li></ul>Required Documents:<ul><li>Resume</li><li>Cover Letter</li></ul><div><div><div><div><div><div><div> When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application.</div></div></div></div></div></div></div><div><div><div><div><div><div><div> Benefit Eligibility​</div></div></div></div></div></div></div>Yes<div><div><div><div><div><div><div>The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off.</div></div></div></div></div></div></div> Pay Rate TypeHourly Pay Range$29.97 - $45.59The included pay rate or range represents the University’s good faith estimate of the possible compensation offer for this role at the time of posting. Scheduled Weekly Hours40 Union024- Local 743, I.B.T. Clerical Job is ExemptNo Drug Test RequiredNo Health Screen RequiredNo Motor Vehicle Record Inquiry RequiredNo Posting Date2026-04-14 Posting StatementThe University of Chicago is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, or expression, national or ethnic origin, shared ancestry, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the <a href="http://www.uchicago.edu/about/non_discrimination_statement/" target="_blank">University&#39;s Notice of Nondiscrimination.</a> Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via <a href="http://uchicago.service-now.com/services?id&#61;services_sc_cat_item_request&amp;sys_id&#61;8ff79243dbe91c1029f52ad94b961946" target="_blank">Applicant Inquiry Form.</a> All offers of employment are contingent upon a background check that includes a review of conviction history.  A conviction does not automatically preclude University employment.  Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.The University of Chicago&#39;s Annual Security &amp; Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: <a href="http://securityreport.uchicago.edu/" target="_blank">http://securityreport.uchicago.edu</a>. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.

Abstractor Coder II

5 years coding experience; 4+ years physician coding; RHIA/RHIT/CCS-P/CPC/CCS certification required; EPIC/Last Word/IDX experience; high school diploma required; associates or bachelors preferred.

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 health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?Job Description: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 all other regulatory and accreditation standards.&#xa0; Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, interprets ICD-10-CM coding conventions and instructional notes to select appropriate diagnoses with a minimum of 95% accuracy.&#xa0; &#xa0;Meets established minimum coding productivity per departmental protocol and guidelines.The Outpatient Coder II is the coding and reimbursement expert with ICD-10-CM diagnosis coding, HCPCS and CPT codes and modifiers.&#xa0; The focus is on complex outpatient encounters that include Observation stays, Same Day Surgery, Surgery Center, and Outpatient in a bed.&#xa0; Should have more in-depth knowledge of disease process, A&amp;P and pharmacology as it relates to the entire body system for accurate coding and reimbursement.&#xa0; Expanded knowledge with HCPCS, Level I, II Chargemaster and CPT soft codes with approved facility modifiers to resolve NCCI Edits.&#xa0; Coder II should also have the knowledge and expertise of Coder Associate and Coder I.Responsibilities:<ul><li>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</li><li>Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures.</li><li>Sends appropriate physician queries when required for documentation clarification. Follows Coding Clinic for HCPCs, CPT Assistant, and interprets coding conventions and instructional notes to select appropriate diagnoses and procedures with a minimum of 95% accuracy</li><li>Broad focus of anatomy on entire body system</li><li>Provides technical expertise to analyze system related changes and participates in testing of software modifications.&#xa0; Identifies opportunities to enhance CAC (computer assisted coding), i.e. notifying IT liaison of documents filing to Default folder, incorrect system assigned codes, etc.</li><li>Resolves NCCI Edits with approved hospital modifiers</li><li>Utilizes 3M Encoder resources to ensure optimal coding accuracy</li><li>Articulates rationale for coding selections, when necessary, ie. Prompted by results of data quality audit</li><li>Meets established minimum coding productivity (90%) and quality standards (95%) for each outpatient encounter type</li></ul>&#xa0;Qualifications:Required:<ul><li>Credentialed by the AHIMA (American Health Information Management Association). CE requirement to remain credentialed is 20-30 CE's every two years</li><li>3-4 years of coding experience in an acute healthcare setting</li><li>RHIT, RHIA or CCS credentialed</li><li>Ability to work with minimal supervision</li></ul>&#xa0;Preferred:<ul><li>Bachelor’s degree in related field</li><li>4 years of coding experience in an acute healthcare setting</li></ul>&#xa0;Additional Information:<div sr-tagline=""></div>Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.Background CheckNorthwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check.&#xa0; Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.&#xa0;BenefitsWe offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our&#xa0;<a href="https://nam04.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjobs.nm.org%2Fbenefits&amp;data=05%7C02%7Cabigail.simpson%40nm.org%7C1246830cb5f747ce286b08de291271a5%7C2596038f3ea44f0caed1066eb6544c3b%7C0%7C0%7C638993356558486210%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=XhATpHJKsSSQ%2FCHQCi9%2BfGff7jdFww3riiYfagOr8co%3D&amp;reserved=0">Benefits</a>&#xa0;section to learn more.Sign-on Bonus Eligibility (if sign-on bonus offered for position):&#xa0;Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.&#xa0;

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

Outpatient Coder II

AHIMA credential; 3-4 years coding experience in acute care; RHIT/RHIA/CCS credentialed; able to work with minimal supervision

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 health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?Job Description:The Inpatient 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 all other regulatory and accreditation standards.The Inpatient Coder II is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges.&#xa0; This person possesses a strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting and Coding Clinics. The Inpatient Coder II has a deep understanding of disease process, anatomy/physiology, pharmacology and medical terminology.Responsibilities:<ul><li>Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types.&#xa0; Complexity is measured by a Case Mix Index (CMI) and Coder II’s typically see average CMI’s of 2.2609.&#xa0; This index score demonstrates higher patient complexity and acuity.</li><li>Utilizes expertise in clinical disease process and documentation, to assign Present on Admission (POA) values to all secondary diagnoses for quality metrics and reporting.</li><li>Thoroughly reviews the provider notes within the health record and the Findings from the Clinical Documentation Nurse in the Clinical Documentation Improvement (CDI) Department who concurrently reviewed the record and provide their clinical insight on the diagnoses.</li><li>Utilizes resources within CAC (Computerized Assisted Coding) software to efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features.</li><li>Reviews Discharge Planning and nursing documentation to validate and correct when necessary, the Discharge Disposition which impacts reimbursement under Medicare’s Post-Acute Transfer Policy.</li><li>Utilizes knowledge of MS-DRG’s, APR-DRG’s, AHRQ Elixhauser risk adjustment to sequence the appropriate ICD-10-CM codes within the top 24 fields to ensure correct reimbursement and NM’s ranking in US News and World Report.</li><li>Collaborate with CDI on approximately 45% of discharges regarding the final MS or APR DRG and comorbidity diagnoses.</li><li>Educates CDI on regulatory guidelines, Coding Clinics and conventions to report appropriate ICD-10-CM diagnoses.</li><li>Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, medical terminology to determine the Principal Diagnosis, secondary diagnoses and procedures.</li><li>Follows the ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS Official Guidelines for Coding and Reporting, Coding Clinic for ICD-10-CM and ICD-10-PCS, coding conventions and instructional notes to assign the appropriate diagnoses and procedures.</li><li>Utilizes coding expertise and knowledge to write appeal letters in response to payor DRG downgrade notices.</li><li>Resolves Nosology Messages/Alerts and Coding Validation Warning/Errors.</li><li>Meets established coding productivity and quality standards.</li></ul>Qualifications:Required: <ul><li>3 years of inpatient coding experience in an acute healthcare setting</li><li>RHIA, RHIT or CCS credential</li><li>AHIMA membership</li></ul>Preferred: <ul><li>Associate’s degree in related field</li><li>RHIA, RHIT with CCS or CDIP/CCDS credential</li><li>4 years of inpatient coding experience in a teaching hospital</li></ul>Additional Information:<div sr-tagline=""></div>Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.Background CheckNorthwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check.&#xa0; Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.&#xa0;BenefitsWe offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our&#xa0;<a href="https://nam04.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjobs.nm.org%2Fbenefits&amp;data=05%7C02%7Cabigail.simpson%40nm.org%7C1246830cb5f747ce286b08de291271a5%7C2596038f3ea44f0caed1066eb6544c3b%7C0%7C0%7C638993356558486210%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=XhATpHJKsSSQ%2FCHQCi9%2BfGff7jdFww3riiYfagOr8co%3D&amp;reserved=0">Benefits</a>&#xa0;section to learn more.Sign-on Bonus Eligibility (if sign-on bonus offered for position):&#xa0;Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.&#xa0;

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

Inpatient Coder II

3 years inpatient coding in acute care; RHIA/RHIT/CCS; AHIMA membership.

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