Medical Coder III (hybrid)
- Skokie, IL
- Permanent
- Full-time
- Position: Pro Fee Coder, 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.
- 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.
- 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.), preferred
- 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
- Visa Sponsorship Available (Nursing and Lab roles)