HIM Coder III

Ann & Robert H. Lurie Childrens Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence kids and their families are at the center of all we do. Ann & Robert H. Lurie Childrens Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Responsible for timely and accurate coding and abstracting of Inpatient visits. Codes and abstract patients following established coding guidelines and utilizing ICD-10 code sets. This position ensures that revenue cycle customer service quality individual and team goals are met.

Essential Job Functions:

• Thorough review of inpatient encounter documentation for diagnoses treatments services. Performs daily coding and abstracting utilizing ICD-10 Code sets and DRG Grouping systems.

• Validates MS-DRG and APR-DRG assignment for appropriateness to encounter

• Performs weekly coding of Inpatient Interim Bill Requests

• Review of Clinical Documentation Specialists notes and queries to ensure capture of queried conditions.

• Validates admission diagnosis assignment and coordinates correction with Case Management personnel when appropriate.

• Identifies documentation issues that may lead to incorrect coding billing and quality metrics. Communicates issues to Clinical Documentation Specialists for clarification and/or resolution when appropriate.

• Facilitates accurate Hospital Acquired Conditions reporting with Infection Control and/or coordinates retrospective query with CDI team as appropriate.

• Performs research and/or seeks assistance from Nosology CHA and American Hospital Association on complex coding cases. Documents findings and educates team on coding guidance.

• Makes recommendations on Epic coding and SVC edits to prevent coding billing IHA and claim edits.

• Maintains quality standards of AHA AMA CMS OIG and TJC pertaining to coding and reimbursement

• Stay current in Coding changes by reading maintaining CEUs and attending education sessions related to Coding and Health Information Management

• Trains and orients new employees

• Assists with testing and implementation of systems/product changes and upgrades.

• Performs other duties as assigned by the coding manager or the director.

Knowledge Skills and Abilities:

• Must possess a minimum of CCS RHIA or RHIT credential. Must maintain credential status through obtaining continuing education requirements.

• Must have completed and continue to demonstrate proficiency in coding program curriculum to include full courses Medical Terminology Anatomy and Physiology Medical Sciences Pharmacology ICD-10-CM CPT and Healthcare Data Content Structures.

• Completion of an AHIMA approved RHIT RHIA or CCS program.

• Must pass Lurie Childrens Coding Exam with a minimum of 90% score.

• Minimum of one year prior hospital coding experience required. Inpatient APR DRG experience preferred.

• Must have a working proficiency of Microsoft Office applications and computer skills to effectively navigate an EMR.

• Must be able to type a minimum of 30 Wpm.

• Must be able to communicate effectively with all Lurie staff; clinical clerical management. Excellent communication skills necessary for interaction at all levels of staff

• Must be able to communicate effectively with external contacts: outside vendors as required in the execution of problem solving activities and assisting patients/visitors with their needs.

• Ability to handle multiple projects. Ability to appropriately prioritize tasks. Ability to cope with the inherent pressures of a results deadline oriented position.

Education

Pay Range

At Lurie Childrens we are committed to competitive and fair compensation aligned with market rates and internal equity reflecting individual contributions experience and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions.In addition to base salary Lurie Childrens offer a comprehensive rewards package that may include differentials for some hourly employees leadership incentivesfor select roles health and retirement benefits and wellbeing programs. For more details on other compensation consult your recruiter or click the followinglink to learn more about our benefits.

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO) Paid Holidays and Paid Parental Leave

403(b) with a 5% employer match

Various voluntary benefits:

• Supplemental Life AD&D and Disability

• Critical Illness Accident and Hospital Indemnity coverage

• Tuition assistance

• Student loan servicing and support

• Adoption benefits

• Backup Childcare and Eldercare

• Employee Assistance Program and other specialized behavioral health services and resources for employees and family members

• Discount on services at Lurie Childrens facilities

• Discount purchasing program

Theres a Place for You with Us

At Lurie Childrens we embrace and celebrate building a team with a variety of backgrounds skills and viewpoints recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly appreciate differences and make meaningful connections that foster belonging. This is a place where you can be your best so we can give our best to the patients and families who trust us with their care.

Lurie Childrens and its affiliatesare equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race color sex sexual orientation gender identity or expression religion national origin ancestry age disability marital status pregnancy protected veteran status order of protection status protected genetic information or any other characteristic protected by law.

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