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.

General Summary:

Responsible for timely and accurate coding and abstracting of Emergency Room, Outpatient Surgery, Observations, Partial Hospitalizations and Ancillary visits. Codes and abstracts following established coding guidelines and utilizes ICD-10-CM, ICD-10-PCS, HCPCs, and CPT code sets. This position ensures that revenue cycle, customer service, quality, individual, and team goals are met.

Essential Job Functions:

1. Review of outpatient visit documentation for diagnoses, treatments, and services; assign ICD-10, HCPCs, CPT codes, and modifiers as appropriate to Emergency department, Partial Hospitalizations, Outpatient Surgery, and Ancillary Visits.

2. Facilitates correction of incorrect service date, admit diagnoses, charges, and patient class with front end revenue cycle departments.

3. Identification of trends in ADT errors and facilitates education and correction.

4. Prioritizes work to ensure revenue cycle goal achievement of 4 days post discharge and/or below Average Daily Revenue.

5. Maintains quality standards of CMH, AHA, AMA, CMS, OIG and TJC pertaining to coding and reimbursement

6. Perform daily, weekly, monthly work queue reconciliation; identify old accounts, check for documentation, contact appropriate parties to obtain documentation required for coding and billing

7. Performs research and/or seeks assistance from Nosology and American Hospital Association on complex coding cases. Documents findings and educates team on coding guidance.

8. Coordinates with Patient Financial Services to reconcile any DNB, IHA errors, denials or claim edits.

9. Queries providers utilizing Epic Physician Query Process in accordance to AHA guidelines when appropriate

10. Makes recommendations on Epic coding and SVC edits to prevent coding, billing, and claim edits.

11. Trains and orients of new employees

12. Abstracting required data elements for internal and external reporting needs

13. Stay current in Coding changes by reading, maintaining CEUs, and attending education sessions related to Coding and Health Information Management.

14. Participates in revenue cycle and HIM project workgroups.

15. Performs other duties as assigned by the coding manager and/or the director.

Knowledge, Skills and Abilities:

1. Must possess a minimum of CCS, RHIA, or RHIT credential. Must maintain credential status through obtaining continuing education requirements.

2. 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.

3. Completion of an AHIMA approved RHIT, RHIA, or CCS program.

4. Must pass Lurie Children's Coding Exam with a minimum of 90% score.

5. Minimum of one year prior coding experience required

6. Must have a working proficiency of Microsoft Office applications and computer skills to effectively navigate an EMR.

7. Must be able to type a minimum of 30 Wpm.

8. Must be able to communicate effectively with all Lurie staff; clinical, clerical, management. Excellent communication skills necessary for interaction at all levels of staff

9. 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.

10. Ability to handle multiple projects. Ability to appropriately prioritize tasks. Ability to cope with the inherent pressures of a results deadline oriented position.

Education

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 best, so we can give our best to the patients and families who trust us with their care.

Lurie Children's and its affiliatesare equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

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