Full-Time Anesthesia Coding Specialist II

Coding Specialist II - Anesthesia Coding

Reflects NM's mission, vision, and values; adheres to the organization's Code of Ethics and Corporate Compliance Program; complies with all relevant policies, procedures, guidelines and regulatory/accreditation standards.

Required Experience: ANESTHESIA CODING EXPERIENCE.

Performs CPT and ICD10 coding through medical record abstraction, focusing on complex encounters and/or HCPCS procedural codes.

Demonstrates a deep understanding of disease processes, anatomy & physiology and pharmacology.

Collaborates with providers and clinical areas to ensure accurate record reflections of patient services.

Trains physicians and staff on documentation, billing and coding.

Responsibilities:

• Reviews medical records thoroughly, using all available documentation.
• Abstracts and codes physician professional services, diagnoses, anesthesia encounters, operative room and surgical procedural services, invasive procedures, drug infusion encounters.
• Codes Evaluation and Management services, bedside procedures, and diagnostic tests.
• Assigns CPT, ICD10 codes, and modifiers with 95% accuracy.
• Ensures charge capture via reconciliations (procedure schedules, OR logs, clinical system reports).
• Provides documentation feedback to physicians.
• Maintains coding reference materials.
• Trains physicians and staff on documentation, billing and coding.
• Reviews and communicates billing and coding guidelines.
• Attends meetings and educational roundtables.
• Resolves pre-account receivable edits.
• Identifies repetitive documentation problems and system issues.
• Corrects billed services, adds missing services, corrects codes and modifiers.
• Adds MBO tracking codes.
• Collaborates with Patient Accounting, PB Billing, and other areas.
• Identifies and resolves incorrect claim issues.
• Drafts letters to coordinate appeals.
• Obtains documentation (notes, reports, drug plans).
• Provides additional code and modifier information for denial appeals.
• May contact providers for peer reviews.
• Meets established productivity and quality standards.
• Required Certifications: RHIA, RHIT, CPC, CCS.
• Experience: 0-2 years in a relevant role.
• Accuracy: 94% on the organization's coding test.

Preferred: Bachelor's/Associate's degree in Health Information Management. Previous experience with physician coding.

Equal Opportunity Employer:

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment.

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