Financial Coding Specialist - Neuro Infusion

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.

The Financial Coding Specialist reflects the mission, vision, and values of Northwestern Medicine, 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.

You will be responsible for translating diagnoses and diagnostic/therapeutic procedures into codes using ICD and CPT systems. The role involves generating accurate insurance claims, verifying infusion documentation and charges, ensuring appropriate modifiers are added, and resolving inquiries from Revenue Cycle Departments efficiently.

Responsibilities include managing workflow efficiently, contributing to continuous improvement processes, following ethical coding standards per AHIMA Code of Ethics, thoroughly reviewing medical records, interpreting coding conventions and selecting appropriate diagnoses and procedures with high accuracy, managing financial processes within Oncology, performing nurse/MD documentation QA, educating staff on coding and documentation, processing requests from Coding Department, updating charge master, assisting with physician billing, and collaborating effectively with various hospital departments.

You will stay updated on coding changes (ICD-9 and CPT) and effectively utilize systems like EPIC and CareManager, embracing new technology to improve workflow.

Qualifications:

• Minimum six months coding experience in oncology.
• Two years of physician and/or hospital billing including infusion billing.
• Thorough understanding of Medicaid, HMOs, PPOs, and private insurance.
• Knowledge of ICD9, CPT, and chemotherapy infusion billing.
• Strong problem-solving, keyboarding, and data entry skills.
• Ability to multitask and collaborate in a fast-paced environment.

Preferred:

• Associate's degree or Certified Coding Specialist Physician (CCSP).
• Certified Coder (CERT CODER).