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Anesthesia Coding Specialist II, PB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible) image - Rise Careers
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Anesthesia Coding Specialist II, PB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible)

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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

Job Description

The Coding Specialist 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.

CANDIDATE MUST HAVE ANESTHESIA CODING EXPERIENCE. 

The PB Coding Specialist II performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on more complex encounters and/or has expertise with HCPCs procedural codes. This position has deep understanding of disease process, A&P and pharmacology and acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patient's service. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The Coding Specialist II also demonstrates expertise to resolve Optum coding edits.

Responsibilities:

  • Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and Management services, bedside procedures and diagnostic tests as needed.
  • Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers with a minimum of 95% accuracy.
  • Ensures charges are captured by performing various reconciliations (procedure schedules, OR logs and clinical system reports)
  • Provides documentation feedback to physicians
  • Maintains coding reference information
  • Trains physicians and other staff regarding documentation, billing and coding.
  • Reviews and communicates new or revised billing and coding guidelines and information
  • Attends meetings and educational roundtables, communicates pertinent information to physicians and staff.
  • Resolves pre-accounts receivable edits. Identifies repetitive documentation problems as well as system issues.
  • Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers. Adds MBO tracking codes as needed.
  • Collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement expertise; helps identify and resolve incorrect claim issues and is responsible for drafting letters in order to coordinate appeals
  • Acts as key point person for Revenue Cycle staff and Account Inquiry Unit staff in obtaining documentation (notes, operative reports, drug treatment plans, etc.). Provides additional code and modifier information to assist with appealing denials. May contact providers for peer-to-peer reviews.
  • Meets established minimum coding productivity and quality standards for each encounter type
  • May perform other duties as assigned.

Qualifications

Required:

  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS).
  • Zero (0) to two (2) years of experience in a relevant role.
  • 94% accuracy on organizations coding test.

Preferred:

  • Bachelor's or Associate's degree in a Health Information Management program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM).
  • Previous experience with physician coding.

Additional Information

Northwestern Medicine is an affirmative action/equal opportunity employer 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.

Average salary estimate

$60000 / YEARLY (est.)
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$70000K

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What You Should Know About Anesthesia Coding Specialist II, PB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible), Northwestern Memorial Healthcare

Join the dedicated team at Northwestern Medicine as an Anesthesia Coding Specialist II in our PB Coding department. This full-time position offers a fantastic opportunity to work remotely, provided you reside in Illinois, Indiana, Iowa, or Wisconsin. Here, we prioritize a patient-first approach that truly sets us apart in the healthcare industry. As an Anesthesia Coding Specialist II, you will play a crucial role in ensuring accurate coding of physician services, particularly for anesthesia encounters. Your expertise in CPT and ICD10 coding will be put to good use as you abstract medical records and collaborate with providers and clinical areas to guarantee that the documentation reflects the services provided accurately. You'll have the chance to train physicians and staff on coding and billing, helping them to understand essential guidelines and avoid common pitfalls. With our commitment to employee well-being, you'll benefit from competitive perks like tuition reimbursement, loan forgiveness, and 401(k) matching. If you're ready to make a difference and are looking for a supportive workplace that shares your passion for healthcare, Northwestern Medicine is the perfect fit for you!

Frequently Asked Questions (FAQs) for Anesthesia Coding Specialist II, PB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible) Role at Northwestern Memorial Healthcare
What are the responsibilities of an Anesthesia Coding Specialist II at Northwestern Medicine?

The Anesthesia Coding Specialist II at Northwestern Medicine is responsible for performing CPT and ICD10 coding for medical records, focusing on complex encounters and anesthesia coding. This includes reviewing documentation, providing feedback to physicians, reconciling charges, training staff on billing and coding, and resolving pre-accounts receivable edits. This role is significant in maintaining coding accuracy and compliance with guidelines.

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What qualifications are needed for the Anesthesia Coding Specialist II position at Northwestern Medicine?

To be considered for the Anesthesia Coding Specialist II position at Northwestern Medicine, candidates must hold a certification such as RHIA, RHIT, CPC, or CCS, along with up to two years of experience in a relevant coding role. A strong understanding of anesthesia coding, compliance, and the ability to achieve a minimum coding accuracy of 94% on the organization’s coding test are essential qualifications.

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How does Northwestern Medicine support continued education for Anesthesia Coding Specialist II?

Northwestern Medicine is committed to the professional growth of its employees, including the Anesthesia Coding Specialist II. The organization provides access to training resources, educational roundtables, and documentation feedback that keep coding staff up-to-date on the latest billing, coding guidelines, and industry knowledge, helping to enhance both individual careers and overall patient care.

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What experience is preferred for the Anesthesia Coding Specialist II role at Northwestern Medicine?

While all candidates must possess appropriate coding certification, preference for the Anesthesia Coding Specialist II role at Northwestern Medicine is given to those with a Bachelor’s or Associate’s degree in a Health Information Management program accredited by CAHIIM. Additionally, previous experience in physician coding will enhance a candidate's fit for this role.

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Where can the Anesthesia Coding Specialist II work, and what are the work conditions?

The Anesthesia Coding Specialist II can work remotely from the comfort of their home, provided they are residents of Illinois, Indiana, Iowa, or Wisconsin. This position allows for flexibility while still being an integral part of Northwestern Medicine, which values collaboration and a supportive work environment.

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Common Interview Questions for Anesthesia Coding Specialist II, PB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible)
Can you describe your experience with anesthesia coding?

When answering this question, focus on specific experiences you've had with anesthesia coding. Mention relevant certifications, any coding software you've used, and how you've collaborated with physicians to improve documentation accuracy. Providing examples of complex encounters you've successfully coded will further demonstrate your expertise.

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How do you ensure accuracy in your coding work?

Discuss your methodology for ensuring coding accuracy. This could include double-checking codes against medical records, staying updated with coding guidelines, or utilizing coding software effectively. Emphasizing your dedication to maintaining a minimum of 94% accuracy will demonstrate your commitment to quality.

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What steps do you take when you encounter unclear documentation?

An effective way to respond to this question is to outline a step-by-step process. Explain how you would seek clarification from the physician, refer to relevant coding manuals, and document any follow-up actions taken to resolve ambiguities. This shows your proactive approach to potential challenges in coding.

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What coding software or electronic health records (EHR) systems are you familiar with?

Provide a list of coding software or EHR systems you've worked with, explaining your level of proficiency with each. Mention how these tools contribute to accurate coding and streamline workflows, and be sure to connect this experience to how it would benefit your role at Northwestern Medicine.

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How do you keep up to date with changes in coding regulations?

Discuss any organizations, newsletters, or online forums you engage with to stay informed about coding changes. Mention any continuing education you've pursued, such as workshops or seminars, and emphasize the importance of staying current to ensure compliance.

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Describe a time when you successfully resolved a coding denial.

Use this question as an opportunity to showcase your problem-solving skills. Outline the situation, your analysis of the denial, the corrective actions you took, and the ultimately positive outcome. This illustrates your ability to handle challenges effectively.

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What role do you think collaboration plays in coding?

Emphasize that collaboration with clinical staff, physicians, and other departments is critical for accurate coding. Discuss how communicating effectively can help resolve issues, improve documentation quality, and ensure that coding reflects the patient's true service.

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How do you handle high-volume coding while maintaining accuracy?

Address this question by describing your time management strategies, such as prioritizing tasks, staying organized, and utilizing coding tools to boost efficiency. Illustrating your ability to meet productivity standards without compromising quality will set you apart.

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What are the most common coding errors you have encountered?

Prepare to discuss specific coding errors such as incorrect modifiers, mismatched diagnoses, or overlooked procedures. Highlight your experience in identifying and rectifying these errors and how you assist others in preventing them.

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Why do you want to work as an Anesthesia Coding Specialist II at Northwestern Medicine?

In your response, reflect on the core values of Northwestern Medicine and how they align with your career aspirations. Talk about your passion for healthcare, your commitment to excellence in coding, and your desire to work in an organization that prioritizes patient care and employee growth.

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Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine. The entities involved in Northwestern Medicine remain separate organizations. Northwestern Medicine is a t...

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Full-time, remote
DATE POSTED
March 20, 2025

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