HIM Coder III- Remote

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.
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* 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.
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* 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.
** Education
* * Associate's Degree:
Health Administration (Required)(CCS) - Certified Coding Specialist
- American Health Information Management Association, (RHIA) - Registered Health Information Administrator
- American Health Information Management Association, (RHIT) - Registered Health Information Technician
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