• performs Current Procedural Terminology (CPT) and International Classification of Diseases (ICD10) coding through abstraction of the medical record • utilizes technical coding expertise to review medical records, abstract and code physician professional services and diagnosis codes • follows Official Guidelines to assign appropriate CPT, ICD10 codes and modifiers • collaborates with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement expertise

Position Overview  We are seeking a knowledgeable and detail-oriented Medical Biller with hands-on experience in payment posting and accounts receivable (A/R) follow-up. This role will support our revenue cycle operations remotely, ensuring claims are processed accurately, payments are posted correctly, and outstanding balances are pursued with diligence.    Training will be provided for our specific workflows and systems. We are looking for someone who does not just absorb training — but actively documents it. The ideal candidate will create clear, organized Standard Operating Procedures (SOPs) throughout the onboarding process, building a lasting knowledge base that supports the team long-term.    Experience with Practice Fusion, Availity, and Greenway is highly preferred.    Key Responsibilities  Payment Posting  - Post patient payments accurately to the correct accounts, charges, and service dates  - Identify and post contractual adjustments, write-offs, and denied amounts in accordance with payer contracts  - Reconcile daily payment batches and ensure all postings balance to deposits  - Flag discrepancies, underpayments, and zero-pay remittances for A/R review and follow-up    Accounts Receivable (A/R) Follow-Up  - Work assigned A/R queues to follow up on outstanding claims with insurance payers and patients  - Investigate and resolve unpaid, denied, or underpaid claims by contacting payers via phone or payer portals  - Identify denial trends and root causes, escalating systemic issues to the billing manager  - Resubmit corrected claims, submit appeals, and provide supporting documentation as required  - Monitor claim aging reports and prioritize follow-up based on payer deadlines and dollar amounts  - Maintain accurate and up-to-date notes on all account activity within the billing system    SOP Development & Documentation  - Actively document workflows, processes, and system steps throughout the training period to create comprehensive SOPs  - Write clear, step-by-step procedures that can be used for future onboarding, cross-training, and quality control  - Organize and maintain the SOP library, updating documentation as workflows evolve or system changes occur  - Proactively identify gaps in existing documentation and flag processes that need to be captured or clarified  Note: SOP creation is a core expectation of this role from day one of training — not an afterthought.    Patient Billing Support  - Review and process patient statements and balances as directed  - Respond to patient billing inquiries professionally and accurately  - Assist with patient payment plan setup and balance resolution as needed    General Billing Operations  - Maintain organized and accurate billing records across all assigned accounts  - Assist with eligibility verification and benefits checks as needed  - Support month-end billing reconciliation and reporting  - Stay current on payer-specific billing requirements, coding updates, and compliance guidelines    Required Qualifications  - Demonstrated experience in medical billing with a focus on payment posting and A/R follow-up  - Strong working knowledge of the medical billing cycle from claim submission through payment reconciliation  - Experience working with EOBs, ERAs, and payer denial codes  - Ability to create clear, organized Standard Operating Procedures — this is a key deliverable of this role  - Strong attention to detail and accuracy in all data entry and financial posting  - Comfortable working independently and managing a billing workload remotely  - Professional written and verbal communication skills    - Experience with Availity — claims submission, eligibility, and payer portal management  - Experience with Greenway Health — practice management and billing workflows  - Familiarity with ICD-10, CPT, and HCPCS coding as it relates to claim accuracy  - Prior experience in a remote medical billing or virtual assistant capacity

Employment Type: Full timeShift: Description: Purpose Frontline, department-based role that supervises daily functions of assigned area(s). Provides clear direction & manages / advances people, processes, structures & / or programs that support direct / indirect care. Demonstrates behaviors in alignment with culture & creates / supports comprehensive strategies & measures progress to achieve desired outcomes. Note: “patients” refers to patients, clients, residents, participants, customers, members  Essential Functions - Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. - Work Focus: Responsible for the daily operations & the oversight of staff. Supervisors work in collaboration with department managers to manage staff & department effectively. Participates in & contributes to the performance management / review process. Implements departmental plans & priorities identified by accountable leaders. - May participate & recommend in the hiring & selection process. Responds promptly & directly to meet or exceed customers’ needs. - Process Focus: Follows standards of performance & work processes in designated areas. Coordinates staff scheduling & assignment. Reviews & approves administrative functions (time, payroll, expense). Stewards productive use of resources (e.g., people, financial, equipment, supplies, materials) to achieve assigned commitments, experiences & quality standards. - Communication: Employs effective & respectful written, verbal & nonverbal communications. Develops an environment of mutual confidence & trust through collaborative relationships. Effectively communicates goals, standards, program expectations, service performance & how the work serves Trinity Health objectives. - Proactively recognizes, addresses & / or escalates organizational, operational, or team conflicts. - Environment: Performs work in an environmentally safe & professional manner. Self-monitors & initiates corrections & / or seeks guidance when needed. Demonstrates flexibility & self-direction by responding as a team player. Helps to create a positive work environment that promotes productivity. Accountable for continuous self-development & supporting the growth of others. - Maintains a working knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. - Functional Role (not inclusive of titles or advancement career progression) - Oversees & provides guidance on coding & charge audits, which includes, but not limited to E & M, Surgical / Procedural, HCC & Diagnosis coding & clinical documentation for the assigned service area’s providers & coding teams. Provides emphasis on adherence to Centers for Medicare and Medicaid Services (CMS) & other insurance carrier standards, optimizing revenues & the avoidance of monetary settlements from third party audits. - Oversees retrospective & prospective medical record documentation audits of all regional network providers & other employed hospital-based physicians & the initial & ongoing medical documentation, audits & coding educational programs to providers, management & revenue site operations staff. - Assists with complex coding technical & business issues & aligns action plans with local & Trinity goals & objectives & identifies patterns & trends impacting coding & charge capture & coordinates educational materials & communications. - Reviews & responds to various quality or compliance reports, including scheduling additional audit & education & follow-up as needed until resolution; Communicates professional coding process improvements as appropriate to Revenue Cycle Site Operations leadership. - pay grade 13 range 75,592.7054-113,389.0581 Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles. Minimum Qualifications - Associate’s degree in related field & professional coding or auditing experience or equivalent combination of education & professional coding or auditing experience. - Current standing as a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), Registered Health Information Technician (RHIT), Certified Documentation Expert Outpatient (CDEO), or equivalent coding certification. - Valid driver’s license where required by assignment. Additional Qualifications (nice to have) - Previous supervisor or leadership experience (e.g., team leader, educator). - Experience in multi-specialty coding, with comprehensive knowledge of Medicare, Medicaid & other third-party billing rules & regulations. - Certified Professional Medical Auditor (CPMA) credential. Physical & Mental Requirements & Working Conditions (General Summary)  - Direct Healthcare Services / Indirect Healthcare / Support Services:   - Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional  - Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.).    Occasional  - Exposure to or subject to noise, infectious waste, diseases & conditions.     Occasional  - Exposure to interruptions, shifting priorities & stressful situations.      Frequent  - Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects.     Continuous  - Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise.    Frequent  - Perform manual dexterity activities & / or grasping / handling.    Continuous  - Ability to climb, kneel, crouch & / or operate foot controls.     Occasional - Use a computer / other technology.     Continuous  - Sit with the ability to vary / adjust physical position or activity.     Continuous  - Maintain a safe working environment & use available personal protective equipment (PPE).     Continuous  - Comply with applicable Code of Conduct, policies, procedures & guidelines.     Continuous  - Ability to provide assistance in the event of an emergency. Occasional   Indirect Healthcare / Support Services:  - Perform activities that require standing / walking with the ability to vary / adjust physical position or activity.     Occasional - Lift a maximum of 30 pounds unassisted.     Occasional  - Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing.   Occasional - Encounter a clinical / patient facing / hands on interactive work environment.     Occasional  - Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions.     Continuous  - Work outdoors with variable external environmental conditions.     Occasional Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%)  Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Company Description 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 health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description The Coding Educator, HB Coding 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 Educator is responsible for creating and delivering education to the Coding Team, Clinical Documentation Nurses, Physicians, and other licensed providers to improve the quality of documentation to assure best quality performance and representation of care provided. In addition, the educator collaborates with the CMOs to ensure the integrity of the Health Record is established through best practices in Clinical Documentation and Coding. Monthly monitoring of the clinical dashboard demonstrating improvement in statistical targets. Responsibilities: - Communicates with Leadership across the regions to develop educational programs that address the identified opportunities to improve clinical dashboard results - Identifies strategic plans that will positively impact the clinical dashboard - Through relationship development across the regions identifies and secure interdepartmental support and other resources necessary for successful origination and implementation of education strategy initiatives in order to achieve overall strategic targets - Performs other audits as requested - Analyzes dashboard and audit data to derive conclusions and construct action plans - On boards new staff on coding protocols - Develops teaching tools to promote quality outcomes Qualifications Required: - RHIT or RHIA or CCS - Associates Degree – Healthcare related - Five years of coding experience in area of expertise - 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: - Bachelors’ Degree in related field or currently enrolled in AHIMA RHIT – HIM Program Additional Information Northwestern 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. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility (if sign-on bonus offered for position): 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 at NM may be eligible depending upon the job family. - Job Shift: Day Job (1st) - Salary Range Minimum : $32.48 - Salary Range Maximum: $47.10 - Compensation: USD 32.48 - USD 47.1 - hourly