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Outpatient Coder II, HB Coding
Northwestern Medicine. Assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10-CM and CPT-4 coding for outpatient visits, ensuring accuracy and compliance with coding conventions. Proficient in analyzing medical records and collaborating with healthcare professionals to enhance coding practices and resolve documentation issues.
Highest-signal resume keywords
ICD-10-CM CodingCPT-4 CodingRHIT CredentialCoding AccuracyHealthcare Documentation Review
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10-CM CodingCPT-4 CodingMedical Record ReviewCoding Clinic GuidelinesNCCI Edits Resolution3M Encoder UtilizationClinical Disease Process KnowledgePharmacology KnowledgeAnatomy KnowledgeCoding Productivity Standards
Soft Skills
Attention to DetailAnalytical ThinkingCommunication SkillsProblem-Solving SkillsAbility to Work Independently
Tools & Technologies
3M EncoderComputer-Assisted Coding Software
Certifications & Qualifications
RHITRHIACCSAHIMA Credentialing
Industry Keywords
Outpatient CodingAcute Healthcare SettingHealthcare ComplianceMedical TerminologyContinuing Education Credits
About the role
Key responsibilities & impact- Assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
- Review medical records and available documentation to code diagnoses and procedures
- Interpret health record documentation using anatomy, physiology, clinical disease process, pharmacology, and medical terminology knowledge
- Send physician queries for documentation clarification when required
- Follow Coding Clinic for HCPCS, CPT Assistant, coding conventions, and instructional notes with at least 95% accuracy
- Meet minimum coding productivity and quality standards, including 90% productivity and 95% quality
- Analyze system-related changes and participate in software modification testing
- Identify opportunities to enhance computer-assisted coding and notify the IT liaison of system issues
- Resolve NCCI edits using approved hospital modifiers
- Use 3M Encoder resources to ensure coding accuracy
- Articulate rationale for coding selections when needed
- Serve as a coding and reimbursement expert for complex outpatient encounters, including observation stays, same-day surgery, surgery center, and outpatient-in-a-bed cases
Requirements
What you’ll need- 3-4 years of coding experience in an acute healthcare setting
- RHIT, RHIA or CCS credentialed
- Credentialed by the AHIMA (American Health Information Management Association)
- Complete 20-30 continuing education credits every two years to remain credentialed
- Ability to work with minimal supervision
- Preferred: Bachelor’s degree in related field
- Preferred: 4 years of coding experience in an acute healthcare setting
- Must complete a criminal-history background check if offered the position
- Must reside in Illinois, Indiana, Iowa, Wisconsin, Ohio, Missouri, Michigan, or Florida
Benefits
Comp & perks- Competitive benefits
- Tuition reimbursement
- Loan forgiveness
- 401(k) matching
- Lifecycle benefits
- Sign-on bonus eligibility