Job Description
- 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
- Ensures that revenue cycle, customer service, quality, individual, and team goals are met
- Thoroughly 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
- 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
- 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
- Benefits:
- 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
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