Physician Billing Auditor & Educator III

Ann & Robert H. Lurie Children's Hospital of Chicago; Chicago (IL); On-site; USD 39,950 - 63,369; Full time

Benefits offered by this job

Medical, dental and vision insurance

Employer paid life and disability

Health Savings Account contribution

Flexible Spending Accounts

PTO, holidays and parental leave

403(b) with 5% employer match

Job summary

Ann & Robert H. Lurie Children’s Hospital of Chicago conducts retrospective audits of physician documentation to ensure billing accuracy. It supports concurrent inpatient and ambulatory coding, educating physicians on CPT/ICD-9 guidelines.

The role involves reviewing records, selecting codes, initiating corrections, and presenting audit data to divisional leadership. They require CPC/CCS-P/CPMA certifications, a minimum of three years coding experience, and proficiency with EPIC, Word, Excel,

Qualifications

• Certification in CPC, CCS-P, or CPMA required.
• High school diploma required.
• Minimum of three years of coding experience required.
• Prior experience in Evaluation and Management coding preferred.
• Demonstrates thorough knowledge of CPT and ICD-9 coding.
• Demonstrates knowledge of E/M coding with proficiency test required.
• Ability to use computer software (EPIC, WORD, EXCEL and PowerPoint).
• Knowledge of medical terminology, anatomy and coding classification systems.

Responsibilities

• Reviews and audits physicians’ documentation to verify CPT codes.
• Determines visit, procedure and diagnosis codes based on documentation.
• Initiates corrections and resolves discrepancies.
• Educates physicians on coding guidelines.
• Makes presentations on audit findings to leadership with recommendations.
• Keeps informed on coding guidelines and performs reconciliations.

Skills

Effective communication

Computer skills

Medical terminology knowledge

Educational outreach

Education

CPMA

CCS-P

CPC

High school diploma

Tools

EPIC

Word

Excel

PowerPoint

Job description

Ann & Robert H. Lurie Children’s Hospital of Chicago conducts retrospective audits of physician documentation to ensure billing accuracy. It supports concurrent inpatient and ambulatory coding, educating physicians on CPT/ICD-9 guidelines.

The role involves reviewing records, selecting codes, initiating corrections, and presenting audit data to divisional leadership. They require CPC/CCS-P/CPMA certifications, a minimum of three years coding experience, and proficiency with EPIC, Word, Excel,