NM

Northwestern Memorial Healthcare

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NM

Patient Access Specialist, Full time, Days (Remote - Must reside in IL, IN, IA, or WI)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The Patient Access Specialist provides exceptional customer service to patients and ensures compliance with healthcare regulations. Responsibilities include scheduling appointments, verifying insurance, and maintaining patient confidentiality. | Candidates must have a high school diploma and 2-3 years of customer service or medical office experience. Excellent communication skills and proficiency in computer data-entry are also required. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Responsibilities: Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIPAA regulations. Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine. Exceeds all consumer requests and alerts management of issues or concerns that require escalation. Correctly identifies and collects patient demographic information in accordance with organization standards. Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner. Reaches out to patients to schedule an appointment as defined. Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails. Informs patients of any issues with securing the financial account for their encounter. Completes out-of-pocket estimations as requested by patients. Provides training and education as needed. Manages work schedule efficiently, completing tasks and assignments on time. Completes other duties assigned by manager. Cross-training between various departments will take place to ensure coverage. Participates in Quality Assurance reviews to ensure integrity of patient data information. Uses effective service recovery skills to solve problems or service breakdowns when they occur. Utilizes department and hospital policies and procedures to complete assigned tasks. Adheres to all department policies and compliance requirements. Avoids putting patient in financial or safety risk. Other duties as assigned. Communication and Collaboration: Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations. Collects authorization numbers in appropriate systems as applicable. Provides professional and constructive environment for communication across units/departments and resolves operational issues. May attend intra/interdepartmental meetings which involve walking within NM Campus. Communicates customer satisfaction issues to appropriate individuals. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care. Accommodates all levels of communication ability. Technology: Utilizes multiple online order retrieval systems to verify or print the patients order. Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary. Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic. Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position. Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable. Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct. Efficiency, Process Improvement, and Business Growth: Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records. Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system. Understands departmental and individual quality metrics. Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions. Evaluates procedures and suggests improvements to enhance customer service and operational efficiency. Participates in departmental quality improvement activities. Provides ideas and suggestions for process improvements within the department. Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards. Adjusts processes as needed to meet standards. Uses organizational and unit/department resources efficiently. Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information. Understands that schedule may change to reflect shifting business needs. Evolves and learns as healthcare policies change. EOE including Disabled and Veterans. Qualifications Required: High School diploma or equivalent. 2-3 years customer service or medical office experience. Excellent interpersonal, verbal, and written communication skills. Proficiency in computer data-entry/typing. Excellent verbal and written communication skills. Ability to read, write, and communicate effectively in English. Basic Computer Skills. Ability to type 40 wpm. Ability to multi-task. Customer service oriented. Excellent organizational, time management, analytical, and problem solving skills. Preferred: Additional education. Additional language skills. Healthcare finance and/or healthcare insurance experience. Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration. Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

Customer Service
Communication
Data Entry
Problem Solving
Organizational Skills
Time Management
Analytical Skills
Teamwork
Technology Proficiency
Insurance Verification
Patient Scheduling
Quality Assurance
Process Improvement
Training
Confidentiality
Service Recovery
Direct Apply
Posted about 8 hours ago
NM

System Integration Analyst II, EPIC PB Resolute, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The PB System Integration Analyst II supports the revenue cycle functions and ensures accurate processing of patient charges. They partner with various stakeholders to analyze system issues, develop workflows, and implement technology solutions. | Candidates must have a Bachelor's degree and a minimum of 5 years of relevant experience in healthcare or IT operations. Epic certification and proficiency in Microsoft Office are required, along with strong communication and problem-solving skills. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The PB System Integration Analyst II reflects the mission, vision, and values of NM, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The PB System Integration Analyst II ensures accurate processing of patient charges and optimal utilization of the electronic medical records system. Description - Operational and technical analyst, supporting the revenue cycle functions of Northwestern Medicine and the system technologies utilized by the PB Coding department (i.e. Epic, Optum ClaimsManager, etc.) - Partner with business owners across the revenue cycle, clinical leadership, and IT to identify and analyze the root cause of user and system issues. - Submit and track system requests, and submits system enhancements and new edits, and participates in system upgrades (i.e. Optum Claims Manager). - Develop efficient workflows and claim scrubber edits, and implement technology solutions within the revenue cycle's operating systems. - Additional responsibilities as required by role to include, but not limited to: - Documentation of policies, procedures, and subsequent workflows/issue resolution - Historical data extraction for risk, trending, and forecasting analysis - Quality and productivity metrics for internal & vendor assessment - Liaison between revenue cycle operations, clinical leadership, IT and finance departments - Epic system configuration of routine maintenance items for PB coding, including but not limited to: public reports, work queues, revenue structure, validating IT build. - Cross-department project management, workflow education, and end-user training. - The Analyst II is responsible for the preparation and review of analysis for various PB Coding leadership and external customers by creating a reporting dashboard (PB Coding and Charge Capture Dashboard). - The Analyst II supports the finance and PB Coding functions of Northwestern Medicine through special projects. - Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies. - The Analyst II will be also report directly to the Manager of PB System Integration and serve as a back-up to the Manager when needed. In doing such, the Analyst II mentors and supports members of the PB System Integration and PB Coding team as an informal leader. - May perform other duties as assigned. Qualifications Required: - Bachelor's degree with relevant experience in addition to the position's minimum requirements - Minimum 5 years relevant healthcare, business, IT operations - Epic certification in at least one software module - Proficient in Microsoft Office (Excel, PowerPoint, Word, Outlook) - Project Management experience - Previous experience with physician coding or Epic Resolute Billing - Proven excellence in communication, presentation, and organizational skills - Strong critical thinking, problem solving and decision-making skills - Ability to multi-task, work both independently and collaboratively with high attention to detail, and adapt to changing customer service needs Preferred: - Thorough knowledge and experience utilizing EPIC (Resolute professional billing system strongly preferred) - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification orCertified Coding Specialist (CCS) Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

Epic
Project Management
Healthcare
IT Operations
Communication
Problem Solving
Decision Making
Organizational Skills
Data Analysis
Workflow Development
Training
Technical Knowledge
Mentoring
Collaboration
Attention to Detail
Coding
Direct Apply
Posted 1 day ago
NM

Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The Coding Quality Auditor and Specialist collaborates with the Clinical Documentation Team to ensure quality metrics are upheld and coding guidelines are followed. This role involves identifying documentation improvement opportunities and developing educational strategies to enhance clinical documentation quality. | Candidates must have RHIT, RHIA, or CCS certification and a Bachelor's degree in a healthcare-related field. A minimum of five years of coding experience and strong analytical and interpersonal skills are also required. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, 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 Coding Quality Auditor and Specialist is required to be the expert in the work related to clinical documentation and coding. This position works in tandem with the Clinical Documentation Team assuring quality metrics are held to the highest standard for NM Health System. The Coding Quality Auditor and Specialist is responsible for assuring coding guidelines and regulations are not compromised during the decision-making process related to clinical documentation and the coding of this documentation. This position partners with Clinical Documentation Nurses, Physicians, and other licensed providers to improve the quality of documentation, assuring best quality performance and representation of care provided. In addition, the Coding Quality Auditor and Specialist collaborates with the CMOs to ensure the integrity of the Health Record is established through best practices in Clinical Documentation and Coding. The Coding Quality Auditor and Specialist is responsible for maintaining quality work queues and quality reports, advanced and complex project work that includes, but is not limited to, Risk Adjustment, Mortality Review, Hospital Acquired Condition (HAC) and Patient Safety Indicator (PSI) Review, Quality Abstraction and Analysis, and/or special and non-traditional project work. Incumbents to this role have a mastery of advanced clinical documentation integrity and quality concepts, coupled with the ability to consistently identify root causes and deliver measurable results. Key to this role is the ability to lead and facilitate quality initiatives and external rankings initiatives while remaining compliant within the coding guidelines and regulations. The Coding Quality Auditor and Specialist solves complex problems and adds new perspectives to existing solutions. The Coding Quality Auditor and Specialist applies advanced knowledge of the national quality agenda and clinical documentation integrity and coding compliance to advance problem analysis and creative process redesign for Northwestern Medicine. Responsibilities: Collaborates with clinical documentation team in the review of inpatient accounts (with an emphasis on mortality reviews) identifying documentation improvement opportunities Assess DRG, PDx, secondary Dx, PCS, POA and all other components of documentation thatimpact quality metrics Consistently assures coding practices remain compliant with coding guidelines and regulations Continually identifies educational opportunities related to coding and documentation Expert educator to clinical teams and medical staff Identifies strategic plans that will result in a positive impact to the clinical dashboard Develops clinical relationships across the health system securing interdepartmental support necessary for successful implementation of education strategies assuring achievement of overall strategic targets Ability to multi-task a variety of audits Ability to analyze data and construct appropriate action plans Develops teaching tools to promote quality outcomes Is an active member of clinical and executive meetings as identified Advanced understanding of quality metrics for health system (Vizient, PSI, USNWR) Advanced understanding of clinical documentation and coding through the lens of local and national quality and ranking methodologies, including but not limited to, U.S News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of ClinicalDocumentation and Coding in implementing key strategies to effect change. Partners with Coding, Clinical Documentation leadership and Medical Directors to coordinate,maintain, and execute advanced project work that includes but, is not limited to, Mortality Review,HAC/PSI Review, Quality Abstraction and Analysis, and/or special and non-traditional project work. Partners with NM departments that includes but is not limited to: IT; Analytics; and Innovation todesign and implement new and advanced workflow solutions. Partners with third-party consultants/partners to contribute to workflow and methodology build andrefine as necessary. Qualifications Required: RHIT or RHIA or CCS Certification Certified Clinical Documentation Specialist Bachelor Degree – Healthcare related (will consider candidate currently enrolled in Bachelorprogram) Five years of coding experience in area of expertise Clinical expertise and understanding achieved through prior experience working with clinicaldocumentation teams Strong personal computer skills (Word, Excel, PowerPoint, Visio) Excellent verbal, written, and presentation skills Demonstrates critical thinking skills Excellent interpersonal skills Planning and time management skills Educational/training experience Preferred: Master’s Degree in related field or currently enrolled in Master’s program Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

Clinical Documentation
Coding Compliance
Quality Metrics
Data Analysis
Critical Thinking
Interpersonal Skills
Educational Experience
Project Management
Direct Apply
Posted 3 days ago
NM

Coding Auditor and Quality Specialist, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The Coding Quality Auditor and Specialist is responsible for ensuring compliance with coding guidelines and regulations while collaborating with clinical teams to improve documentation quality. This role involves maintaining quality work queues, conducting audits, and leading quality initiatives within the health system. | Candidates must have RHIT, RHIA, or CCS certification, along with a Bachelor's degree in a healthcare-related field and five years of coding experience. Strong analytical, educational, and interpersonal skills are essential for success in this role. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, 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 Coding Quality Auditor and Specialist is required to be the expert in the work related to clinical documentation and coding. This position works in tandem with the Clinical Documentation Team assuring quality metrics are held to the highest standard for NM Health System. The Coding Quality Auditor and Specialist is responsible for assuring coding guidelines and regulations are not compromised during the decision-making process related to clinical documentation and the coding of this documentation. This position partners with Clinical Documentation Nurses, Physicians, and other licensed providers to improve the quality of documentation, assuring best quality performance and representation of care provided. In addition, the Coding Quality Auditor and Specialist collaborates with the CMOs to ensure the integrity of the Health Record is established through best practices in Clinical Documentation and Coding. The Coding Quality Auditor and Specialist is responsible for maintaining quality work queues and quality reports, advanced and complex project work that includes, but is not limited to, Risk Adjustment, Mortality Review, Hospital Acquired Condition (HAC) and Patient Safety Indicator (PSI) Review, Quality Abstraction and Analysis, and/or special and non-traditional project work. Incumbents to this role have a mastery of advanced clinical documentation integrity and quality concepts, coupled with the ability to consistently identify root causes and deliver measurable results. Key to this role is the ability to lead and facilitate quality initiatives and external rankings initiatives while remaining compliant within the coding guidelines and regulations. The Coding Quality Auditor and Specialist solves complex problems and adds new perspectives to existing solutions. The Coding Quality Auditor and Specialist applies advanced knowledge of the national quality agenda and clinical documentation integrity and coding compliance to advance problem analysis and creative process redesign for Northwestern Medicine. Responsibilities: Collaborates with clinical documentation team in the review of inpatient accounts (with an emphasis on mortality reviews) identifying documentation improvement opportunities Assess DRG, PDx, secondary Dx, PCS, POA and all other components of documentation thatimpact quality metrics Consistently assures coding practices remain compliant with coding guidelines and regulations Continually identifies educational opportunities related to coding and documentation Expert educator to clinical teams and medical staff Identifies strategic plans that will result in a positive impact to the clinical dashboard Develops clinical relationships across the health system securing interdepartmental support necessary for successful implementation of education strategies assuring achievement of overall strategic targets Ability to multi-task a variety of audits Ability to analyze data and construct appropriate action plans Develops teaching tools to promote quality outcomes Is an active member of clinical and executive meetings as identified Advanced understanding of quality metrics for health system (Vizient, PSI, USNWR) Advanced understanding of clinical documentation and coding through the lens of local and national quality and ranking methodologies, including but not limited to, U.S News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of ClinicalDocumentation and Coding in implementing key strategies to effect change. Partners with Coding, Clinical Documentation leadership and Medical Directors to coordinate,maintain, and execute advanced project work that includes but, is not limited to, Mortality Review,HAC/PSI Review, Quality Abstraction and Analysis, and/or special and non-traditional project work. Partners with NM departments that includes but is not limited to: IT; Analytics; and Innovation todesign and implement new and advanced workflow solutions. Partners with third-party consultants/partners to contribute to workflow and methodology build andrefine as necessary. Qualifications Required: RHIT or RHIA or CCS Certification Certified Clinical Documentation Specialist Bachelor Degree – Healthcare related (will consider candidate currently enrolled in Bachelorprogram) Five years of coding experience in area of expertise Clinical expertise and understanding achieved through prior experience working with clinicaldocumentation teams Strong personal computer skills (Word, Excel, PowerPoint, Visio) Excellent verbal, written, and presentation skills Demonstrates critical thinking skills Excellent interpersonal skills Planning and time management skills Educational/training experience Preferred: Master’s Degree in related field or currently enrolled in Master’s program Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

Clinical Documentation
Coding Compliance
Quality Metrics
Data Analysis
Education
Interpersonal Skills
Critical Thinking
Project Management
Teaching
Collaboration
Problem Solving
Documentation Improvement
Healthcare Regulations
Communication
Technical Skills
Workflow Solutions
Direct Apply
Posted 4 days ago
NM

System Integration Analyst II, EPIC PB Resolute, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The System Integration Analyst II will be responsible for integrating and optimizing the EPIC Resolute system. This role involves collaborating with various teams to ensure seamless system functionality. | Candidates should have experience with system integration and familiarity with EPIC Resolute. Strong analytical and problem-solving skills are essential for this position. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The PB System Integration Analyst II reflects the mission, vision, and values of NM, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The PB System Integration Analyst II ensures accurate processing of patient charges and optimal utilization of the electronic medical records system. Description - Operational and technical analyst, supporting the revenue cycle functions of Northwestern Medicine and the system technologies utilized by the PB Coding department (i.e. Epic, Optum ClaimsManager, etc.) - Partner with business owners across the revenue cycle, clinical leadership, and IT to identify and analyze the root cause of user and system issues. - Submit and track system requests, and submits system enhancements and new edits, and participates in system upgrades (i.e. Optum Claims Manager). - Develop efficient workflows and claim scrubber edits, and implement technology solutions within the revenue cycle's operating systems. - Additional responsibilities as required by role to include, but not limited to: - Documentation of policies, procedures, and subsequent workflows/issue resolution - Historical data extraction for risk, trending, and forecasting analysis - Quality and productivity metrics for internal & vendor assessment - Liaison between revenue cycle operations, clinical leadership, IT and finance departments - Epic system configuration of routine maintenance items for PB coding, including but not limited to: public reports, work queues, revenue structure, validating IT build. - Cross-department project management, workflow education, and end-user training. - The Analyst II is responsible for the preparation and review of analysis for various PB Coding leadership and external customers by creating a reporting dashboard (PB Coding and Charge Capture Dashboard). - The Analyst II supports the finance and PB Coding functions of Northwestern Medicine through special projects. - Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies. - The Analyst II will be also report directly to the Manager of PB System Integration and serve as a back-up to the Manager when needed. In doing such, the Analyst II mentors and supports members of the PB System Integration and PB Coding team as an informal leader. - May perform other duties as assigned. Qualifications Required: - Bachelor's degree with relevant experience in addition to the position's minimum requirements - Minimum 5 years relevant healthcare, business, IT operations - Epic certification in at least one software module - Proficient in Microsoft Office (Excel, PowerPoint, Word, Outlook) - Project Management experience - Previous experience with physician coding or Epic Resolute Billing - Proven excellence in communication, presentation, and organizational skills - Strong critical thinking, problem solving and decision-making skills - Ability to multi-task, work both independently and collaboratively with high attention to detail, and adapt to changing customer service needs Preferred: - Thorough knowledge and experience utilizing EPIC (Resolute professional billing system strongly preferred) - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification orCertified Coding Specialist (CCS) Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

System Integration
EPIC Resolute
Direct Apply
Posted 7 days ago
NM

System Integration Analyst II, EPIC PB Resolute, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The PB System Integration Analyst II supports the revenue cycle functions and system technologies utilized by the PB Coding department. This role involves analyzing user and system issues, developing workflows, and maintaining system configurations. | Candidates must have a Bachelor's degree and a minimum of 5 years of relevant experience in healthcare or IT operations. Epic certification and proficiency in Microsoft Office are also required. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The PB System Integration Analyst II reflects the mission, vision, and values of NM, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The PB System Integration Analyst II ensures accurate processing of patient charges and optimal utilization of the electronic medical records system. Description - Operational and technical analyst, supporting the revenue cycle functions of Northwestern Medicine and the system technologies utilized by the PB Coding department (i.e. Epic, Optum ClaimsManager, etc.) - Partner with business owners across the revenue cycle, clinical leadership, and IT to identify and analyze the root cause of user and system issues. - Submit and track system requests, and submits system enhancements and new edits, and participates in system upgrades (i.e. Optum Claims Manager). - Develop efficient workflows and claim scrubber edits, and implement technology solutions within the revenue cycle's operating systems. - Additional responsibilities as required by role to include, but not limited to: - Documentation of policies, procedures, and subsequent workflows/issue resolution - Historical data extraction for risk, trending, and forecasting analysis - Quality and productivity metrics for internal & vendor assessment - Liaison between revenue cycle operations, clinical leadership, IT and finance departments - Epic system configuration of routine maintenance items for PB coding, including but not limited to: public reports, work queues, revenue structure, validating IT build. - Cross-department project management, workflow education, and end-user training. - The Analyst II is responsible for the preparation and review of analysis for various PB Coding leadership and external customers by creating a reporting dashboard (PB Coding and Charge Capture Dashboard). - The Analyst II supports the finance and PB Coding functions of Northwestern Medicine through special projects. - Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies. - The Analyst II will be also report directly to the Manager of PB System Integration and serve as a back-up to the Manager when needed. In doing such, the Analyst II mentors and supports members of the PB System Integration and PB Coding team as an informal leader. - May perform other duties as assigned. Qualifications Required: - Bachelor's degree with relevant experience in addition to the position's minimum requirements - Minimum 5 years relevant healthcare, business, IT operations - Epic certification in at least one software module - Proficient in Microsoft Office (Excel, PowerPoint, Word, Outlook) - Project Management experience - Previous experience with physician coding or Epic Resolute Billing - Proven excellence in communication, presentation, and organizational skills - Strong critical thinking, problem solving and decision-making skills - Ability to multi-task, work both independently and collaboratively with high attention to detail, and adapt to changing customer service needs Preferred: - Thorough knowledge and experience utilizing EPIC (Resolute professional billing system strongly preferred) - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification orCertified Coding Specialist (CCS) Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

Epic
Project Management
Healthcare
IT Operations
Communication
Problem Solving
Decision Making
Organizational Skills
Data Analysis
Workflow Education
End-User Training
Technical Knowledge
Mentoring
Collaboration
Charge Capture
Revenue Cycle
Direct Apply
Posted 7 days ago
NM

System Integration Analyst II, PB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The PB System Integration Analyst II supports revenue cycle functions and ensures accurate processing of patient charges. This role involves collaborating with various departments to analyze system issues and implement technology solutions. | Candidates must have a Bachelor's degree and a minimum of 5 years of relevant healthcare or IT experience. Epic certification and proficiency in Microsoft Office are also required. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The PB System Integration Analyst II reflects the mission, vision, and values of NM, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The PB System Integration Analyst II ensures accurate processing of patient charges and optimal utilization of the electronic medical records system. Description - Operational and technical analyst, supporting the revenue cycle functions of Northwestern Medicine and the system technologies utilized by the PB Coding department (i.e. Epic, Optum ClaimsManager, etc.) - Partner with business owners across the revenue cycle, clinical leadership, and IT to identify and analyze the root cause of user and system issues. - Submit and track system requests, and submits system enhancements and new edits, and participates in system upgrades (i.e. Optum Claims Manager). - Develop efficient workflows and claim scrubber edits, and implement technology solutions within the revenue cycle's operating systems. - Additional responsibilities as required by role to include, but not limited to: - Documentation of policies, procedures, and subsequent workflows/issue resolution - Historical data extraction for risk, trending, and forecasting analysis - Quality and productivity metrics for internal & vendor assessment - Liaison between revenue cycle operations, clinical leadership, IT and finance departments - Epic system configuration of routine maintenance items for PB coding, including but not limited to: public reports, work queues, revenue structure, validating IT build. - Cross-department project management, workflow education, and end-user training. - The Analyst II is responsible for the preparation and review of analysis for various PB Coding leadership and external customers by creating a reporting dashboard (PB Coding and Charge Capture Dashboard). - The Analyst II supports the finance and PB Coding functions of Northwestern Medicine through special projects. - Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies. - The Analyst II will be also report directly to the Manager of PB System Integration and serve as a back-up to the Manager when needed. In doing such, the Analyst II mentors and supports members of the PB System Integration and PB Coding team as an informal leader. - May perform other duties as assigned. Qualifications Required: - Bachelor's degree with relevant experience in addition to the position's minimum requirements - Minimum 5 years relevant healthcare, business, IT operations - Epic certification in at least one software module - Proficient in Microsoft Office (Excel, PowerPoint, Word, Outlook) - Project Management experience - Previous experience with physician coding or Epic Resolute Billing - Proven excellence in communication, presentation, and organizational skills - Strong critical thinking, problem solving and decision-making skills - Ability to multi-task, work both independently and collaboratively with high attention to detail, and adapt to changing customer service needs Preferred: - Thorough knowledge and experience utilizing EPIC (Resolute professional billing system strongly preferred) - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification orCertified Coding Specialist (CCS) Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

Operational Analysis
Technical Analysis
Project Management
Communication
Problem Solving
Decision Making
Attention to Detail
Epic Certification
Microsoft Office
Healthcare Experience
Coding Experience
Workflow Education
Data Analysis
Mentoring
Team Support
System Integration
Direct Apply
Posted 7 days ago
NM

HB Coding Analyst, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The HB Coding Analyst is responsible for assigning appropriate ICD-10-CM and CPT-4 codes to outpatient visit types and reviewing medical records to ensure accurate coding. They collaborate with various departments to provide coding reimbursement expertise and resolve claim failures. | Candidates must have 3 years of experience in an acute healthcare setting and hold relevant certifications such as RHIT, RHIA, CCS, or CPC. Membership in AHIMA or AAPC is also required. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The 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 Other duties as assigned Qualifications Required: 3 years of experience in acute healthcare setting RHIT or RHIA or CCS or CCS-P or COC or CPC AHIMA or AAPC membership Preferred: RHIA/RHIT with CCS, CCS-P, COC, CPC 4 years’ experience in acute healthcare setting 4 years’ experience in a professional setting Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

ICD-10-CM Coding
HCPC Coding
CPT-4 Coding
Evaluation and Management Coding
Medical Record Review
Collaboration
Health Record Documentation
Coding Guidelines Interpretation
NCCI Resolution
Coding Productivity
Quality Standards
Direct Apply
Posted 15 days ago
NM

Coding Auditor and Quality Coordinator, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The Coding Quality Auditor and Specialist collaborates with the Clinical Documentation Team to ensure high-quality metrics and compliance with coding guidelines. This role involves maintaining quality work queues, conducting audits, and developing educational strategies to improve clinical documentation. | Candidates must have RHIT, RHIA, or CCS certification, along with a Bachelor's degree in a healthcare-related field and five years of coding experience. Strong analytical, communication, and interpersonal skills are essential for this position. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, 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 Coding Quality Auditor and Specialist is required to be the expert in the work related to clinical documentation and coding. This position works in tandem with the Clinical Documentation Team assuring quality metrics are held to the highest standard for NM Health System. The Coding Quality Auditor and Specialist is responsible for assuring coding guidelines and regulations are not compromised during the decision-making process related to clinical documentation and the coding of this documentation. This position partners with Clinical Documentation Nurses, Physicians, and other licensed providers to improve the quality of documentation, assuring best quality performance and representation of care provided. In addition, the Coding Quality Auditor and Specialist collaborates with the CMOs to ensure the integrity of the Health Record is established through best practices in Clinical Documentation and Coding. The Coding Quality Auditor and Specialist is responsible for maintaining quality work queues and quality reports, advanced and complex project work that includes, but is not limited to, Risk Adjustment, Mortality Review, Hospital Acquired Condition (HAC) and Patient Safety Indicator (PSI) Review, Quality Abstraction and Analysis, and/or special and non-traditional project work. Incumbents to this role have a mastery of advanced clinical documentation integrity and quality concepts, coupled with the ability to consistently identify root causes and deliver measurable results. Key to this role is the ability to lead and facilitate quality initiatives and external rankings initiatives while remaining compliant within the coding guidelines and regulations. The Coding Quality Auditor and Specialist solves complex problems and adds new perspectives to existing solutions. The Coding Quality Auditor and Specialist applies advanced knowledge of the national quality agenda and clinical documentation integrity and coding compliance to advance problem analysis and creative process redesign for Northwestern Medicine. Responsibilities: Collaborates with clinical documentation team in the review of inpatient accounts (with an emphasis on mortality reviews) identifying documentation improvement opportunities Assess DRG, PDx, secondary Dx, PCS, POA and all other components of documentation thatimpact quality metrics Consistently assures coding practices remain compliant with coding guidelines and regulations Continually identifies educational opportunities related to coding and documentation Expert educator to clinical teams and medical staff Identifies strategic plans that will result in a positive impact to the clinical dashboard Develops clinical relationships across the health system securing interdepartmental support necessary for successful implementation of education strategies assuring achievement of overall strategic targets Ability to multi-task a variety of audits Ability to analyze data and construct appropriate action plans Develops teaching tools to promote quality outcomes Is an active member of clinical and executive meetings as identified Advanced understanding of quality metrics for health system (Vizient, PSI, USNWR) Advanced understanding of clinical documentation and coding through the lens of local and national quality and ranking methodologies, including but not limited to, U.S News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of ClinicalDocumentation and Coding in implementing key strategies to effect change. Partners with Coding, Clinical Documentation leadership and Medical Directors to coordinate,maintain, and execute advanced project work that includes but, is not limited to, Mortality Review,HAC/PSI Review, Quality Abstraction and Analysis, and/or special and non-traditional project work. Partners with NM departments that includes but is not limited to: IT; Analytics; and Innovation todesign and implement new and advanced workflow solutions. Partners with third-party consultants/partners to contribute to workflow and methodology build andrefine as necessary. Qualifications Required: RHIT or RHIA or CCS Certification Certified Clinical Documentation Specialist Bachelor Degree – Healthcare related (will consider candidate currently enrolled in Bachelorprogram) Five years of coding experience in area of expertise Clinical expertise and understanding achieved through prior experience working with clinicaldocumentation teams Strong personal computer skills (Word, Excel, PowerPoint, Visio) Excellent verbal, written, and presentation skills Demonstrates critical thinking skills Excellent interpersonal skills Planning and time management skills Educational/training experience Preferred: Master’s Degree in related field or currently enrolled in Master’s program Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

Clinical Documentation
Coding Compliance
Quality Metrics
Data Analysis
Education
Interpersonal Skills
Critical Thinking
Project Management
Collaboration
Teaching
Problem Solving
Communication
Technical Skills
Strategic Planning
Documentation Improvement
Healthcare Regulations
Direct Apply
Posted 15 days ago
NM

PB Coding System Integration Analyst II, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI - Sign-on bonus eligible)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The PB System Integration Analyst II supports the revenue cycle functions and system technologies utilized by the PB Coding department. They partner with various stakeholders to identify and analyze user and system issues, develop efficient workflows, and implement technology solutions. | Candidates must have a bachelor's degree and a minimum of 5 years of relevant experience in healthcare, business, or IT operations. Epic certification in at least one software module and proficiency in Microsoft Office are also required. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The PB System Integration Analyst II reflects the mission, vision, and values of NM, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The PB System Integration Analyst II ensures accurate processing of patient charges and optimal utilization of the electronic medical records system. Description - Operational and technical analyst, supporting the revenue cycle functions of Northwestern Medicine and the system technologies utilized by the PB Coding department (i.e. Epic, Optum ClaimsManager, etc.) - Partner with business owners across the revenue cycle, clinical leadership, and IT to identify and analyze the root cause of user and system issues. - Submit and track system requests, and submits system enhancements and new edits, and participates in system upgrades (i.e. Optum Claims Manager). - Develop efficient workflows and claim scrubber edits, and implement technology solutions within the revenue cycle's operating systems. - Additional responsibilities as required by role to include, but not limited to: - Documentation of policies, procedures, and subsequent workflows/issue resolution - Historical data extraction for risk, trending, and forecasting analysis - Quality and productivity metrics for internal & vendor assessment - Liaison between revenue cycle operations, clinical leadership, IT and finance departments - Epic system configuration of routine maintenance items for PB coding, including but not limited to: public reports, work queues, revenue structure, validating IT build. - Cross-department project management, workflow education, and end-user training. - The Analyst II is responsible for the preparation and review of analysis for various PB Coding leadership and external customers by creating a reporting dashboard (PB Coding and Charge Capture Dashboard). - The Analyst II supports the finance and PB Coding functions of Northwestern Medicine through special projects. - Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies. - The Analyst II will be also report directly to the Manager of PB System Integration and serve as a back-up to the Manager when needed. In doing such, the Analyst II mentors and supports members of the PB System Integration and PB Coding team as an informal leader. - May perform other duties as assigned. Qualifications Required: - Bachelor's degree with relevant experience in addition to the position's minimum requirements - Minimum 5 years relevant healthcare, business, IT operations - Epic certification in at least one software module - Proficient in Microsoft Office (Excel, PowerPoint, Word, Outlook) - Project Management experience - Previous experience with physician coding or Epic Resolute Billing - Proven excellence in communication, presentation, and organizational skills - Strong critical thinking, problem solving and decision-making skills - Ability to multi-task, work both independently and collaboratively with high attention to detail, and adapt to changing customer service needs Preferred: - Thorough knowledge and experience utilizing EPIC (Resolute professional billing system strongly preferred) - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification orCertified Coding Specialist (CCS) Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

Epic
Project Management
Healthcare
Business
IT Operations
Communication
Presentation
Organizational Skills
Critical Thinking
Problem Solving
Decision Making
Multi-tasking
Attention to Detail
Direct Apply
Posted 15 days ago
NM

PB Coding System Integration Analyst II, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The PB System Integration Analyst II supports the revenue cycle functions and ensures accurate processing of patient charges. They partner with various stakeholders to identify and analyze system issues, develop workflows, and implement technology solutions. | Candidates must have a bachelor's degree and a minimum of 5 years of relevant experience in healthcare, business, or IT operations. Epic certification and proficiency in Microsoft Office are required, along with strong communication and problem-solving skills. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The PB System Integration Analyst II reflects the mission, vision, and values of NM, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The PB System Integration Analyst II ensures accurate processing of patient charges and optimal utilization of the electronic medical records system. Description - Operational and technical analyst, supporting the revenue cycle functions of Northwestern Medicine and the system technologies utilized by the PB Coding department (i.e. Epic, Optum ClaimsManager, etc.) - Partner with business owners across the revenue cycle, clinical leadership, and IT to identify and analyze the root cause of user and system issues. - Submit and track system requests, and submits system enhancements and new edits, and participates in system upgrades (i.e. Optum Claims Manager). - Develop efficient workflows and claim scrubber edits, and implement technology solutions within the revenue cycle's operating systems. - Additional responsibilities as required by role to include, but not limited to: - Documentation of policies, procedures, and subsequent workflows/issue resolution - Historical data extraction for risk, trending, and forecasting analysis - Quality and productivity metrics for internal & vendor assessment - Liaison between revenue cycle operations, clinical leadership, IT and finance departments - Epic system configuration of routine maintenance items for PB coding, including but not limited to: public reports, work queues, revenue structure, validating IT build. - Cross-department project management, workflow education, and end-user training. - The Analyst II is responsible for the preparation and review of analysis for various PB Coding leadership and external customers by creating a reporting dashboard (PB Coding and Charge Capture Dashboard). - The Analyst II supports the finance and PB Coding functions of Northwestern Medicine through special projects. - Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies. - The Analyst II will be also report directly to the Manager of PB System Integration and serve as a back-up to the Manager when needed. In doing such, the Analyst II mentors and supports members of the PB System Integration and PB Coding team as an informal leader. - May perform other duties as assigned. Qualifications Required: - Bachelor's degree with relevant experience in addition to the position's minimum requirements - Minimum 5 years relevant healthcare, business, IT operations - Epic certification in at least one software module - Proficient in Microsoft Office (Excel, PowerPoint, Word, Outlook) - Project Management experience - Previous experience with physician coding or Epic Resolute Billing - Proven excellence in communication, presentation, and organizational skills - Strong critical thinking, problem solving and decision-making skills - Ability to multi-task, work both independently and collaboratively with high attention to detail, and adapt to changing customer service needs Preferred: - Thorough knowledge and experience utilizing EPIC (Resolute professional billing system strongly preferred) - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification orCertified Coding Specialist (CCS) Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

Epic
Project Management
Healthcare
Business
IT Operations
Communication
Presentation
Organizational Skills
Critical Thinking
Problem Solving
Decision Making
Attention to Detail
Collaboration
Workflow Education
End-User Training
Direct Apply
Posted 15 days ago
NM

PB Coding Analyst II, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The PB System Integration Analyst II supports revenue cycle functions and ensures accurate processing of patient charges. Responsibilities include analyzing user and system issues, developing workflows, and preparing reports for leadership. | Candidates must have a Bachelor's degree and at least 5 years of relevant experience in healthcare or IT operations. Epic certification and proficiency in Microsoft Office are required, along with strong communication and problem-solving skills. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The PB System Integration Analyst II reflects the mission, vision, and values of NM, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The PB System Integration Analyst II ensures accurate processing of patient charges and optimal utilization of the electronic medical records system. Description - Operational and technical analyst, supporting the revenue cycle functions of Northwestern Medicine and the system technologies utilized by the PB Coding department (i.e. Epic, Optum ClaimsManager, etc.) - Partner with business owners across the revenue cycle, clinical leadership, and IT to identify and analyze the root cause of user and system issues. - Submit and track system requests, and submits system enhancements and new edits, and participates in system upgrades (i.e. Optum Claims Manager). - Develop efficient workflows and claim scrubber edits, and implement technology solutions within the revenue cycle's operating systems. - Additional responsibilities as required by role to include, but not limited to: - Documentation of policies, procedures, and subsequent workflows/issue resolution - Historical data extraction for risk, trending, and forecasting analysis - Quality and productivity metrics for internal & vendor assessment - Liaison between revenue cycle operations, clinical leadership, IT and finance departments - Epic system configuration of routine maintenance items for PB coding, including but not limited to: public reports, work queues, revenue structure, validating IT build. - Cross-department project management, workflow education, and end-user training. - The Analyst II is responsible for the preparation and review of analysis for various PB Coding leadership and external customers by creating a reporting dashboard (PB Coding and Charge Capture Dashboard). - The Analyst II supports the finance and PB Coding functions of Northwestern Medicine through special projects. - Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies. - The Analyst II will be also report directly to the Manager of PB System Integration and serve as a back-up to the Manager when needed. In doing such, the Analyst II mentors and supports members of the PB System Integration and PB Coding team as an informal leader. - May perform other duties as assigned. Qualifications Required: - Bachelor's degree with relevant experience in addition to the position's minimum requirements - Minimum 5 years relevant healthcare, business, IT operations - Epic certification in at least one software module - Proficient in Microsoft Office (Excel, PowerPoint, Word, Outlook) - Project Management experience - Previous experience with physician coding or Epic Resolute Billing - Proven excellence in communication, presentation, and organizational skills - Strong critical thinking, problem solving and decision-making skills - Ability to multi-task, work both independently and collaboratively with high attention to detail, and adapt to changing customer service needs Preferred: - Thorough knowledge and experience utilizing EPIC (Resolute professional billing system strongly preferred) - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification orCertified Coding Specialist (CCS) Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

Epic
Project Management
Healthcare
IT Operations
Communication
Problem Solving
Decision Making
Organizational Skills
Critical Thinking
Multi-tasking
Collaboration
Attention to Detail
Direct Apply
Posted 15 days ago
NM

HB Coding Analyst, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)

Northwestern Memorial HealthcareAnywherefull-time
View Job
Compensation$Not specified

The HB Coding Analyst is responsible for assigning appropriate ICD-10-CM and CPT-4 codes to outpatient visit types and evaluating medical records to ensure accurate coding. They collaborate with various departments to provide coding reimbursement expertise and resolve claim failures. | Candidates must have 3 years of experience in an acute healthcare setting and hold relevant certifications such as RHIT, RHIA, CCS, CCS-P, COC, or CPC. Preferred qualifications include 4 years of experience in both acute and professional settings. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The 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 Other duties as assigned Qualifications Required: 3 years of experience in acute healthcare setting RHIT or RHIA or CCS or CCS-P or COC or CPC AHIMA or AAPC membership Preferred: RHIA/RHIT with CCS, CCS-P, COC, CPC 4 years’ experience in acute healthcare setting 4 years’ experience in a professional setting Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

ICD-10-CM Coding
HCPC Coding
CPT-4 Coding
Evaluation and Management Coding
Medical Record Review
Collaboration
Anatomy Knowledge
Physiology Knowledge
Clinical Disease Process Knowledge
Pharmacology Knowledge
Medical Terminology
Coding Guidelines Compliance
NCCI Resolution
Coding Productivity
Quality Standards
Coding Expertise
Direct Apply
Posted 15 days ago
NM

Transplant Nurse Coordinator , Kidney Transplant On-Call Full Time Days Remote

Northwestern Memorial HealthcareAnywherefull-time
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Compensation$Not specified

The Transplant Nurse Coordinator is responsible for planning, directing, providing, and documenting appropriate care for patients throughout all phases of their treatment. This role involves coordinating comprehensive care, assisting with the consent process, and serving as a communication link between patients and the healthcare team. | Candidates must have a Bachelor of Science in Nursing and be a licensed Registered Nurse in Illinois, with a minimum of 2-3 years of recent clinical experience. Preferred qualifications include specialty certification and previous transplant or organ-specific experience. | 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Transplant Nurse Coordinator reflects the mission, vision, and values of NM, 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 Transplant Nurse Coordinator is a Registered Nurse with experience in and knowledge of stem cell or organ transplantation and donation. Practicing under the supervision of transplant physicians, the Transplant Nurse Coordinator provides coordination through all phases of patient care. This position makes referrals to external clinicians or treatment programs or other community resources as appropriate and in accordance with established departmental protocols. Job duties may vary by specific department or assignment. Responsibilities: Responsible for planning, directing, providing and documenting appropriate care for patients in the designated care setting Assists in coordinating comprehensive care for patients, including assisting with the consent process, data collection and arranging any required follow-up visits, referrals, testing, treatment, and/or long-term follow-up Works collaboratively with the interdisciplinary team to coordinate on-going care, focused on cost-effective ways to maximize wellness and enhance patients’ lives Develops, coordinates, and provides education for patients, family, caregivers, and staff based on personalized needs along with serving as a resource for ongoing education Serves as a communication link between the patient, family, caregivers, interdisciplinary team, and outside hospitals/agencies Contributes to department, hospital, or other professional committees and/or quality or process improvement initiatives. Ensures clinical practice and patient care is consistent with policies, procedures, and regulatory requirements Other duties as assigned AA/EOE Qualifications Required: Bachelor of Science in Nursing (BSN) Licensed Registered Nurse (RN) in the state of Illinois CPR-Basic Life Support (BLS) Minimum 2-3 years of recent & related clinical experience Preferred: Specialty certification in the clinical area of focus Previous transplant or organ specific experience (i.e. hepatology, nephrology, hematologic malignancies, hematopoietic stem cell transplant, cellular therapies) Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer 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. 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. Please visit our Benefits section to learn more.

Patient Care
Coordination
Education
Communication
Interdisciplinary Teamwork
Data Collection
Consent Process
Quality Improvement
Regulatory Compliance
Clinical Practice
Resource Management
Follow-Up
Care Planning
Documentation
Cost-Effective Care
Patient Advocacy
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Posted 15 days ago

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