Explore 4 coder ii jobs from 3 hiring companies in Spring Grove, IL, US. Filter by remote, salary, experience, and company, then open any listing to apply.

coder-ii

Coder Ii

Fox Lake

McHenry

Antioch

Round Lake Beach

Round Lake

Lindenhurst

Johnsburg

Grayslake

Salem

Woodstock

Crystal Lake

Wauconda

Lake Villa

Pistakee Highlands

Cary

Twin Lakes

Mundelein

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Gurnee

Coder Ii Jobs

Northwestern Medicine

Advocate Health

Endeavor Health

Remote

Onsite

<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p style="text-align:left"><span><span><span><span><span><span><b>Department:</b></span></span></span></span></span></span></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>13497 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Medical and Primary<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p style="text-align:left"><span><span><span><span><span><span><b>Status:</b></span></span></span></span></span></span><span> </span></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>Full time<p style="text-align:inherit"></p><p style="text-align:inherit"></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p style="text-align:left"><span><span><span><span><span><span><b>Benefits Eligible:</b></span></span></span></span></span></span></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>Yes<p style="text-align:inherit"></p><p style="text-align:inherit"></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p style="text-align:left"><span><span><span><span><span><span><b>Hou</b><b>rs Per Week:</b></span></span></span></span></span></span></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>40<p style="text-align:inherit"></p><p style="text-align:inherit"></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p style="text-align:left"><span><span><span><span><span><span><b>Schedule Details/Additional Information:</b></span></span></span></span></span></span></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p><b><u>Will support</u>: </b></p><ul><li>Behavioral Health</li></ul><p><b><u>Schedule</u>: </b></p><ul><li>Monday - Friday 1st shift Flexible schedule- 40 hours a week.</li></ul><p><b><u>Certification desired</u>: </b></p><ul><li>Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA).</li></ul><p><b><u>Remote opportunity:</u></b></p><p>Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY</p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Pay Range</b></p>$26.55 - $39.85<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p><b>Major Responsibilities:</b></p><ul><li>Assigns codes using International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS).</li><li>Sequences diagnoses and procedure codes as outlined in CPT, ICD and HCPC Coding Guidelines while adhering to local and national governmental payer guidelines.</li><li>Adheres to the organization and departmental guidelines, policies and protocols. Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.</li><li>Reviews all provider documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes.</li><li>Follows up and obtains clarification of inaccurate documentation as appropriate.</li><li>Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Academy of Professional Coders. Adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes.</li><li>Meets and exceeds departmental quality and production standards.</li><li>Serves as a subject matter expert to Coding department leaders and peers. Recommends modifications to current policies and procedures as needed to coincide with government regulations.</li><li>Participates in payer audits by acting as a resource for coding-related audits, as requested.</li><li>Responsible for processing coding claim appeals and coding claim rejections, when applicable.</li></ul><p><br /><b>Licensure, Registration, and/or Certification Required:</b></p><ul><li>Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC), or</li><li>Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or</li><li>Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or</li><li>Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or</li><li>Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or</li><li>Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC).</li></ul><p><br /><b>Education Required:</b></p><ul><li>Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist.</li></ul><p><br /><b>Experience Required:</b></p><ul><li>Typically requires 2 years of experience in professional coding that includes experiences in physician revenue cycle processes and health information workflows.</li></ul><p><br /><b>Knowledge, Skills &amp; Abilities Required:</b></p><ul><li>Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.</li><li>Intermediate computer skills including the use of Microsoft Office and e-mail as well as exposure or experience with electronic coding systems or applications.</li><li>Excellent oral and written communication and interpersonal skills.</li><li>Excellent organization, prioritization and reading comprehension skills.</li><li>Excellent analytical skills, with a high attention to detail.</li><li>Demonstrates ability to function as a mentor, role model and teacher.</li><li>Ability to work independently and exercise independent judgment and decision making.</li><li>Ability to meet deadlines while working in a fast-paced environment.</li><li>Ability to take initiative and work collaboratively with others.</li></ul><p><br /><b>Physical Requirements and Working Conditions:</b></p><ul><li>Exposed to a normal office environment.</li><li>Must be able to sit for extended periods of time.</li><li>Must be able to continuously concentrate.</li><li>Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.</li><li>Operates all equipment necessary to perform the job.</li></ul><p><br /><i>This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.</i></p><p><i>#Remote</i></p><p><i>#Li-Remote </i></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Our <span><span class="WKM0">Commitment to You:</span></span></b></p><p style="text-align:inherit"></p><p style="text-align:left">Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:</p><p style="text-align:inherit"></p><p style="text-align:left"><b>Compensation</b></p><ul><li>Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>Premium pay such as shift, on call, and more based on a teammate&#39;s job</li><li>Incentive pay for select positions</li><li>Opportunity for annual increases based on performance</li></ul><p style="text-align:inherit"></p><p style="text-align:left"><b>Benefits and more</b></p><ul><li>Paid Time Off programs</li><li>Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>Family benefits such as adoption assistance and paid parental leave</li><li>Defined contribution retirement plans with employer match and other financial wellness programs</li><li>Educational Assistance Program</li></ul><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p style="text-align:inherit"></p><p style="text-align:left"><b>About Advocate Health </b></p><p style="text-align:inherit"></p><p style="text-align:left"><a href="https://www.advocatehealth.org/" target="_blank">Advocate Health</a> is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names <a href="https://www.advocatehealth.com/" target="_blank">Advocate Health Care</a> in Illinois; <a href="https://atriumhealth.org/" target="_blank">Atrium Health</a> in the Carolinas, Georgia and Alabama; and <a href="https://www.aurorahealthcare.org/" target="_blank">Aurora Health Care</a> in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with <a href="https://school.wakehealth.edu/" target="_blank">Wake Forest University School of Medicine</a> serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>

Coder II - Behavioral Health

Coder II

Code diagnoses and procedures using ICD, CPT, HCPCS; typically 2 years coding experience; CPC/CAA/CCS-P or AHIMA RHIA/RHIT/SCP certifications; remote, full-time; behavioral health focus.

Nshs

<p><b>Hourly Pay Range:</b></p>$24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.<p></p><p></p><p><b>Medical Coder II</b></p><p>The Medical Coder II plays a key role in our hospital&#39;s revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements.</p><p></p><p><b>Position Highlights:</b></p><ul><li><p>Position: Medical Coder II</p></li><li><p>Location: Warrenville, IL</p></li><li><p>Full Time/Part Time: Full-time (40 hours per week)</p></li><li><p>Hours: Monday-Friday, during normal business hours</p></li></ul><p></p><p><b>What you will do:</b></p><ul><li><p>Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and conventions.</p></li><li><p>Conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments.</p></li><li><p>Examine clinical documentation in medical records, working with physicians and clinical staff to clarify and improve documentation as needed for accurate coding.</p></li><li><p>Stay up-to-date with the latest coding guidelines, conventions, and regulatory changes to ensure coding accuracy.</p></li><li><p>Collaborate with clinical staff to resolve coding-related questions and discrepancies and make appropriate code revisions.</p></li><li><p>Ensure coding practices are in compliance with federal, state, and local healthcare regulations, as well as HIPAA privacy standards.</p></li><li><p>Generate coding reports and summaries, providing feedback and insights on coding accuracy and trends.</p></li><li><p>Assist in the training and mentoring of junior coders, helping them develop their coding skills and understanding of best practices.</p></li><li><p>Analyze coding data to identify patterns, trends, and opportunities for process improvement</p></li></ul><p></p><p><b>What you will need:</b></p><ul><li><p>Education: Associates Degree Information Technology, required</p></li><li><p>Certification:</p><ul><li><p>Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), required</p></li><li><p>Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), required</p></li></ul></li><li><p>Experience: 2&#43; Years of coding experience, with proficiency in ICD-10-CM and CPT coding</p></li></ul><p></p><p><b>Benefits (For full time or part time positions):</b></p><ul><li><p>Opportunity for annual increases based on performance</p></li><li><p>Career Pathways to Promote Professional Growth and Development</p></li><li><p>Various Medical, Dental, Pet and Vision options</p></li><li><p>Tuition Reimbursement</p></li><li><p>Free Parking</p></li><li><p>Wellness Program Savings Plan</p></li><li><p>Health Savings Account Options</p></li><li><p>Retirement Options with Company Match</p></li><li><p>Paid Time Off and Holiday Pay</p></li><li><p>Community Involvement Opportunities</p></li></ul><p></p><p></p><p>Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit <a href="http://www.endeavorhealth.org" target="_blank">www.endeavorhealth.org</a>.  </p><p></p><p>When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.</p><p></p><p>Please explore our website (<a href="http://www.endeavorhealth.org" target="_blank">www.endeavorhealth.org</a>) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”. </p><p></p><p>Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.</p><p></p><p>At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging—each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.</p><p></p><p>EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.</p><p></p><p></p>

Medical Coder II

2+ years coding experience with ICD-10-CM and CPT; CPC and CCS certifications; Associates in Information Technology; full-time.

<strong>Company Description:</strong><p>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?</p><strong>Job Description:</strong><p>The <strong><u>Outpatient Coder II</u></strong> 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, <em>Coding Clinics, </em>interprets ICD-10-CM coding conventions and instructional notes to select appropriate diagnoses with a minimum of 95% accuracy.&#xa0; <strong>&#xa0;</strong>Meets established minimum coding productivity per departmental protocol and guidelines.</p><p>The Outpatient Coder II<strong> </strong>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.</p><p><u><strong>Responsibilities:</strong></u></p><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 <em>Coding Clinic for HCPCs, CPT Assistant, and </em>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><p>&#xa0;</p><strong>Qualifications:</strong><p><u><strong>Required:</strong></u></p><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><p>&#xa0;</p><p><u><strong>Preferred:</strong></u></p><ul><li>Bachelor’s degree in related field</li><li>4 years of coding experience in an acute healthcare setting</li></ul><p>&#xa0;</p><strong>Additional Information:</strong><div sr-tagline=""></div><p>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.</p><p><strong>Background Check</strong></p><p>Northwestern 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.</p><p><strong>Artificial Intelligence Disclosure </strong></p><p>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;</p><p><strong>Benefits</strong></p><p>We 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.</p><p><strong>Sign-on Bonus Eligibility (if sign-on bonus offered for position):</strong>&#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;</p>

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

<strong>Company Description:</strong><p>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?</p><strong>Job Description:</strong><p>The <strong><u>Inpatient Coder II</u></strong> 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.</p><p>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, <em>Official Guidelines for Coding and Reporting </em>and <em>Coding Clinics. </em>The Inpatient Coder II has a deep understanding of disease process, anatomy/physiology, pharmacology and medical terminology.</p><p><u><strong>Responsibilities:</strong></u></p><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 <em>Official Guidelines for Coding and Reporting</em>, <em>Coding Clinic</em> 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><strong>Qualifications:</strong><p><strong><u>Required</u></strong><strong>: </strong></p><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><p><strong><u>Preferred</u></strong><strong>: </strong></p><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><strong>Additional Information:</strong><div sr-tagline=""></div><p>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.</p><p><strong>Background Check</strong></p><p>Northwestern 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.</p><p><strong>Artificial Intelligence Disclosure </strong></p><p>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;</p><p><strong>Benefits</strong></p><p>We 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.</p><p><strong>Sign-on Bonus Eligibility (if sign-on bonus offered for position):</strong>&#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;</p>

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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