HIM Coder III

at Ann & Robert H. Lurie Children's Hospital of Chica in Lake Forest, Illinois, United States

Job Description

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.

Location680 Lake Shore Drive

Job Description
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 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.

EducationAssociate's Degree: Health Administration (Required)

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 Children's facilities

Discount purchasing program

There's a Place for You with Us

At Lurie Children's we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints - recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your... For full info follow application link.

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