at NorthShore University Health System in Skokie, Illinois, United States
Job Description
Position Highlights:
Position: Medical Coder III, Surgical
Location: Hybrid (Skokie, IL and remote)
Full Time/Part Time: Full-time
Hours: Monday-Friday, standard 8.5 hour workday, must be flexible to accommodate early am or pm physician meetings as needed.
Travel: Flexible WFH arrangement, however this is not a fully remote position. Candidate must be able to occasionally travel between NS locations.
What you will do:
Provide virtual and in-person coding and documentation education to physicians, advance practice providers, practice managers, and revenue cycle coders.
Perform billing provider audits to identify missed revenue and/or compliance risk.
Analyze progress notes, op reports, pathology reports, explanation of benefits, patient insurance information, and various other health information documents for coding and billing accuracy.
Review government and commercial payer policies to identify coding and documentation requirements for professional billing to ensure timely and accurate reimbursement.
Perform research and data analysis projects on various coding and billing matters.
Identify improper coding and billing trends that result in coding denials, and assist in implementation of workflows and streamlined processes to minimize these denials.
Assign appropriate ICD-10, CPT, and HCPCS codes to medical record documentation by applying physician specialty coding rules, third party payor guidelines, APC billing rules and Medicare Local Medical Review Policies.
Develop educational materials/aids to assist billing providers and coders in identifying documentation requirements on various topics.
Attend multi-specialty physician coding, billing, reimbursement seminars to maintain and increase coding, billing, reimbursement expertise/ knowledge.
What you will need:
Education: Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, or related field required, or 10+ years of healthcare experience in the clinical or revenue cycle setting
Skills: physician coding and auditing, must be comfortable with public speaking and have good presentation skills
Experience:
3-5 years of related experience in physician and hospital outpatient medical billing, reimbursement, physician audits, chart review, coding compliance, medical office or patient accounts.
1-2 years of experience working with Senior Physician Management a plus
Certification: Coding Credentials (CRC, CPC, CCS-P, etc.), preferre
Benefits:
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, Pet and Vision options
Tuition Reimbursement
Free Parking
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities
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 www.endeavorhealth.org.
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.
Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".
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.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.