HIM Coder III- Remote

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.
• Reviews 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.
• Stays current in Coding changes by reading, maintaining CEUs, and attending education sessions related to Coding and Health Information Management.
• Trains and orients new employees.
• Affords assistance with testing and implementation of systems/product changes and upgrades.

Requirements

• Minimum of CCS, RHIA, or RHIT credential.
• Completion of an AHIMA approved RHIT, RHIA, or CCS program.
• Passes Lurie Children’s Coding Exam with a minimum of 90% score.
• One year prior hospital coding experience required.
• Inpatient APR DRG experience preferred.
• Working proficiency of Microsoft Office applications and computer skills to effectively navigate an EMR.
• Minimum typing speed of 30 Wpm.
• Effective communication skills with all Lurie staff; clinical, clerical, management.

Qualifications

• Associate's Degree: Health Administration (Required)

Skills and Abilities

• Knowledge of Medical Terminology, Anatomy and Physiology, Medical Sciences, Pharmacology, ICD-10-CM, CPT, and Healthcare Data Content Structures.
• Ability to handle multiple projects. Ability to appropriately prioritize tasks. Ability to cope with the inherent pressures of a results deadline oriented position.

Pay

$31.50-$51.50 Hourly

Benefits

At Lurie Children’s, we offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.

• Medical, dental and vision insurance
• Employer paid group term life and disability
• Employer contribution toward Health Savings Account
• Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
• 403(b) with a 5% employer match
• Voluntary Benefits
• 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

Equal Opportunity Employer

Lurie Children’s is an equal employment opportunity employer. We value diversity and are committed to creating an inclusive environment for all employees.