Northwestern Medicine

Analyst

• Assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
• Assign Evaluation and Management codes for physician encounters
• Thoroughly review medical records and available documentation
• Code diagnoses, procedures, and evaluation and management services
• Collaborate with Patient Accounting, Registration, case managers, and other clinical areas
• Interpret health record documentation to report appropriate diagnoses and procedures
• Resolve NCCI, NCD/LCD, and other outpatient edit claim failures
• Meet established coding productivity and quality standards
• Perform other duties as assigned

Coding Analyst, Part Time – Day Shift

Medical Billing and Coding

• 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 documentation using anatomy, physiology, clinical disease process, pharmacology, and medical terminology knowledge
• Send physician queries for documentation clarification
• Follow Coding Clinic for HCPCS, CPT Assistant, coding conventions, and instructional notes
• Maintain minimum 95% coding accuracy
• Meet minimum coding productivity and quality standards, including 90% productivity and 95% quality
• Provide technical expertise for system changes and participate in software modification testing
• Identify opportunities to enhance computer-assisted coding
• Resolve NCCI edits with approved hospital modifiers
• Use 3M Encoder resources to ensure coding accuracy
• Articulate rationale for coding selections when necessary

Outpatient Coder II, HB Coding

Systems Engineer

• Keep hardware systems, associated operating systems, and connectivity capabilities fully operational and integrated into the healthcare IT environment
• Monitor, analyze, and plan upgrades to maintain adequate capacity and availability
• Maintain technical competence for assigned services and systems
• Provide technical leadership and support for computing systems and systems integration
• Conduct and present performance and capacity analyses
• Maintain broad knowledge of server and distributed systems
• Diagnose and coordinate resolution of problems with vendors and manufacturers
• Respond to customer needs and manage issues through closure
• Support application teams with project and support activities
• Communicate with customers and team members
• Determine strategy for system-to-network connectivity and interfacing
• Review technology projects, analyze business requirements, recommend changes, write technical specifications, and implement system changes
• Develop project plans, scopes, schedules, and effort projections
• Establish and enforce local area network standards, policies, and procedures
• Participate in technology planning
• Integrate vendor, manufacturer, and point-expertise knowledge
• Mentor immediate team and application team members
• Contribute to the IS Knowledge Repository
• Provide on-call support

Senior Systems Engineer, ServiceNow

Patient Access Specialist

• Provide patient access services (specific duties are not provided in the posting)
• Work a daytime, first-shift schedule
• Work remotely from the Chicago, Illinois area

• Assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
• Assign Evaluation and Management codes for physician encounters
• Thoroughly review medical records and documentation to code diagnoses, procedures, and evaluation and management services
• Collaborate with Patient Accounting, Registration, case managers, and clinical areas on coding and reimbursement
• Interpret health record documentation using clinical and medical terminology knowledge
• Resolve NCCI, NCD/LCD, and other outpatient claim edit failures
• Meet established coding productivity and quality standards for each outpatient encounter type
• Perform other duties as assigned
• Adhere to organizational policies, Code of Ethics, Corporate Compliance Program, and regulatory/accreditation standards

Coding Analyst

• Practice the Patients First philosophy and maintain high customer service standards
• Respond to patient questions and concerns, escalating extraordinary issues to the Team Lead or Operations Coordinator
• Maintain patient confidentiality in accordance with HIPAA regulations
• Collect and verify patient demographic information
• Schedule and direct patients through Northwestern Medicine systems
• Reach out to patients to schedule appointments
• Perform medical necessity checks and communicate options when appointments fail
• Inform patients about issues securing financial accounts for encounters
• Complete out-of-pocket estimates upon request
• Provide training and education as needed
• Manage schedules and complete assignments on time
• Cross-train between departments to ensure coverage
• Participate in Quality Assurance reviews of patient data integrity
• Resolve service breakdowns using service recovery skills
• Communicate physician referral, insurance referral, and consultation information
• Collect authorization numbers and support interdepartmental communication
• Use online order retrieval systems to verify or print patient orders
• Verify insurance eligibility and benefits using online tools or by phone
• Complete handoff instructions and notes in Epic
• Run real-time eligibility checks and follow out-of-network policies
• Send accurate Epic messages and telephone encounters
• Prevent visit issues by checking tests, preparation requirements, timing, locations, orders, and duplicate records
• Collect and update required registration data
• Analyze account activity and initiate resolutions
• Suggest process improvements and participate in quality improvement activities
• Monitor registration, scheduling, and insurance verification against quality standards
• Act as a training resource for new staff and coworkers
• Perform other duties assigned by the manager

• Keep hardware systems, associated operating systems, and connectivity capabilities fully operational and integrated into the IT environment
• Monitor, analyze, and plan upgrades to ensure adequate capacity and availability
• Provide technical leadership and support for computing systems and systems integration
• Conduct, analyze, recommend, and present performance and capacity analyses
• Maintain broad working knowledge of server and distributed systems
• Diagnose problems and coordinate solutions with vendors and manufacturers
• Respond promptly to customer needs and manage issues through closure
• Support application teams with project and support activities
• Communicate with customers, project teams, and IS team members
• Determine strategies for system-to-network connectivity and interfacing
• Review technology projects, analyze business requirements, recommend system changes, write technical specifications, and implement changes
• Identify and implement technology best-practice standards
• Develop project plans, scopes, effort projections, schedules, and final plans with project managers
• Establish and enforce local-area-network standards, policies, and procedures
• Participate in technology planning
• Integrate vendor, manufacturer, and technical expertise into the organization
• Mentor and act as a resource for immediate and application teams
• Promote collaborative IS team efforts and adapt to changing priorities
• Contribute to the IS Knowledge Repository
• Provide required on-call support

• Assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
• Thoroughly 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 when documentation clarification is required
• Follow Coding Clinic for HCPCS, CPT Assistant, coding conventions, and instructional notes
• Maintain at least 95% coding accuracy
• Meet departmental minimum coding productivity and quality standards, including 90% productivity and 95% quality for each outpatient encounter type
• Analyze system-related changes and participate in testing software modifications
• Identify opportunities to enhance computer-assisted coding (CAC)
• Resolve NCCI edits using approved hospital modifiers
• Use 3M Encoder resources to optimize coding accuracy
• Articulate rationale for coding selections when required by data quality audits
• Adhere to Northwestern Medicine’s mission, values, Code of Ethics, Corporate Compliance Program, policies, procedures, regulatory requirements, and accreditation standards

• Practice the Patients First philosophy and maintain high customer service standards
• Respond to patient questions and concerns and escalate extraordinary issues to the Team Lead or Operations Coordinator
• Maintain patient confidentiality in accordance with HIPAA regulations
• Identify and collect accurate patient demographic information
• Schedule and direct patients through Northwestern Medicine systems
• Reach out to patients to schedule appointments
• Perform medical necessity checks and communicate options when appointments fail
• Inform patients about issues securing financial accounts
• Complete out-of-pocket estimations upon request
• Provide training and education as needed
• Manage schedules and complete assignments on time
• Cross-train between departments to ensure coverage
• Participate in Quality Assurance reviews of patient data integrity
• Use service recovery skills to resolve problems and service breakdowns
• Communicate information about physician referrals, insurance referrals, and consultations
• Collect authorization numbers in applicable systems
• Support staff in departments providing direct patient care
• Use online order retrieval systems to verify or print patient orders
• Verify insurance eligibility and benefit levels using online tools or phone
• Complete accurate handoff instructions and notes in Epic
• Run real-time eligibility checks and follow out-of-network policies
• Send descriptive and grammatically correct Epic Messages and telephone encounters
• Prevent patient-visit issues by double-checking tests, preparation requirements, scheduling conflicts, times, locations, and duplicate records
• Collect and verify the minimum data set for complete registration
• Analyze account activity, identify problems, and initiate resolutions
• Suggest procedure and process improvements
• Participate in departmental quality improvement activities
• Monitor registration, scheduling, and insurance verification against quality standards
• Serve as a training resource for new staff and coworkers
• Perform other duties assigned by management