HIM Coder III

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🔥 13 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $31 - $51 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

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Ann & Robert H. Lurie Children's Hospital of Chicago

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1894

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare Insurance • Non-profit

Ann & Robert H. Lurie Children's Hospital of Chicago is a leading pediatric healthcare institution located in Chicago, Illinois. It is renowned for its commitment to providing exceptional care to children, alongside fostering inclusivity and diversity. As an independent hospital, Lurie Children's places a strong emphasis on healing and family care, emphasizing research and education to improve children's healthcare. The hospital offers a diverse range of career opportunities, from nursing and advanced practice to allied health and leadership roles, attracting dedicated employees who are passionate about its mission. Named by Forbes as one of America's Best Midsize Employers, the hospital is dedicated to employee development and provides comprehensive benefits. Lurie Children's is also notable for its numerous accolades, including being the only pediatric hospital in Illinois to earn the 6th Magnet Designation for nursing excellence.

📋 Description

• 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 • 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

🎯 Requirements

• 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 Children’s 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

🏖️ Benefits

• 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 Children’s facilities • Discount purchasing program