Coding and Compliance Analyst Senior

Skokie, IL, United States

Coding and Compliance Analyst Senior page is loaded Coding and Compliance Analyst Senior Apply locations NSO 4901 Searle Parkway Corporate Office Skokie time type Full time posted on Posted 2 Days Ago job requisition id R8847 Position Highlights:

Position : Sr Analyst, Coding Compliance

Location : Skokie, IL

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.

Required Trave l: Flexible WFH arrangement, however this is not a fully remote position. Candidate must be able to occasionally travel between NS locations.

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

Certification: Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, or related field required or an Associate’s Degree with equivalent years of work experience, or Coding Credentials (CRC, CPC, CCS-P, etc.)

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 experience working with Senior Physician Management a plus

Skills : physician coding and auditing, must be comfortable with public speaking and have good presentation skills

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.

NorthShore University HealthSystem (NorthShore) is an integrated healthcare delivery system consistently ranked a Top 15 Major Teaching Hospital in the U.S. Headquartered in Evanston, Illinois, NorthShore comprises five hospitals (Evanston , Glenbrook , Highland Park , Skokie and Swedish ), 140 Medical Group and Specialty Care offices, and more than 3,000 physicians, serving over 635,000 patients. The organization supports academics and research as the principal teaching affiliate for the University of Chicago Pritzker School of Medicine. Recognized for nursing excellence, NorthShore is a Magnet designated organization--the first system in Illinois to receive this prestigious honor. NorthShore has an established reputation and employs over 12,500 people.

When you work for NorthShore, 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.northshore.org ) to better understand how NorthShore delivers on its mission "to preserve and improve human life" through superior clinical care, academic excellence and innovative research.

NorthShore is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

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About us

NorthShore University HealthSystem, Edward-Elmhurst Health, Swedish Hospital and Northwest Community Healthcare are now united under one name: Endeavor Health. Together, we’re setting a new standard for healthcare.

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