HIM Coder III

Lurie Children's Hospital•Chicago, IL

2d•$32 - $52

About The Position

Ann & Robert H. Lurie Children’s 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 Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Day (United States of America) Location 680 Lake Shore Drive Job 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.

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.
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.
Associate's Degree: Health Administration (Required)

Nice To Haves

Inpatient APR DRG experience preferred.

Responsibilities

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.

Benefits

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 Children’s facilities
Discount purchasing program