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Job DescriptionThe HB Coding Analyst reflects the mission, vision, and values of Northwestern Memorial, 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.
The HB Coding Analyst is the coding and reimbursement expert in ICD-10-CM diagnosis coding and has expertise with HCPC Level I and II procedural codes. Also demonstrates expertise to resolve NCD/LCD and NCCI edits of hard-coded (Chargemaster) and soft-coded (coder assigned) HCPC codes.
RESPONSIBILITIES:
* Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
* Utilizes technical coding expertise to assign Evaluation and Management codes for physician encounters
* Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses, procedures, and evaluation and management services
* Collaborates with Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise
* Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures
* Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant, interprets coding conventions and instructional notes to select appropriate diagnoses and procedures with a minimum of 95% accuracy
* Resolves NCCI, NCD/LCD or other outpatient edit claim failures as assigned
* Meets established minimum coding productivity and quality standards for each outpatient encounter type
Additional Functions
* Other duties as assigned
QualificationsMinimum Requirements:
Certification:
- RHIT or RHIA or CCS or CCS-P or COC or CPC
- AHIMA or AAPC membership
Experience:
- 3 years of experience in acute healthcare setting
Preferred:
* RHIA/RHIT with CCS, CCS-P, COC, CPC
* 4 years’ experience in acute healthcare setting
* 4 years’ experience in a professional setting
Additional InformationNorthwestern Medicine is an equal opportunity employer (disability, VETS) 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.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events.
Click on or copy and paste URL to your browser to view detailed benefits information
NorthwesternMedicine Career Page
https://jobs.nm.org/benefits
Please refer to the Benefits Eligibility by Employment Classification to determine benefits eligibility for job postings.
If sign-on bonus is included in a job posting eligibility is as followed: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign-on bonus. Exception: New graduate internal employees seeking their first licensed clinical position as a Registered Nurse at NM may be eligible.
Skills Required
- One of the following certifications: RHIT, RHIA, CCS, CCS-P, COC, or CPC
- AHIMA or AAPC membership
- 3 years of experience in an acute healthcare setting
- RHIA or RHIT combined with CCS, CCS-P, COC, or CPC certification
- 4 years of experience in an acute healthcare setting
- 4 years of experience in a professional setting
Northwestern Medicine Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Northwestern Medicine and has not been reviewed or approved by Northwestern Medicine.
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Healthcare Strength — Health coverage includes comprehensive medical, dental, and vision options, alongside a no‑cost EAP and wellness resources. Employer‑paid short‑ and long‑term disability further strengthens protection during illness or injury.
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Parental & Family Support — Paid parental and maternity leave at full base pay is available for eligible employees, supporting bonding time. Onsite childcare at select campuses and family‑oriented resources add practical support.
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Retirement Support — The retirement plan features an employer match after a service period, supporting long‑term savings. Basic life and AD&D coverage at no cost enhance financial security for families.
Northwestern Medicine Insights
What We Do
Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine around a strategic vision to transform the future of healthcare. It encompasses the research, teaching, and patient care activities of the academic medical center.
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