Physician Billing Coder 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

Location

Ann & Robert H. Lurie Children's Hospital of Chicago

Job Summary

Conducts retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Accounts for concurrent inpatient billing accuracy and compliance for selected Divisions. Provides physician education on coding and documentation guidelines.

Essential Job Functions

• Reviews and audits physicians’ documentation in the medical record and the level of CPT code selection to verify accuracy through a concurrent coding program.
• Determines visit, procedure and diagnosis code(s) based on documentation.
• Initiates corrections and resolves discrepancies.
• Confers with the physicians to communicate and educate when deficiencies in documentation and code selection are identified.
• Meets with Division Heads and Clinical Practice Directors or designees to present statistical data on audit findings, provides useful recommendations and documentation tools.
• Keeps informed on coding and documentation guidelines.
• Performs monthly reconciliation between concurrent charges sent and entered.
• Ensures that all concurrent charges and necessary information are submitted to the billing service in a timely manner.
• Resolves all questions and problems with patients, third party payers, billing coordinators and coding and billing analysts and external billing services.
• Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.
• Other job functions as assigned.

Knowledge, Skills, And Abilities

• Certification in one of the following: Certified as Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P), or Certified Professional Medical Auditor (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 by passing a test.
• Demonstrates thorough knowledge of Evaluation and Management (E/M) by passing a proficiency test; required.
• Ability to use computer software (i.e.: EPIC, WORD, EXCEL and PowerPoint).
• Demonstrated knowledge and understanding of medical terminology, anatomy and physiology and coding classification systems in determining appropriate physician coding.
• Ability to communicate effectively, work independently and balance multiple priorities.

Pay Range

$28.50-$46.60 Hourly. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children’s 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.

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

Equal Employment Opportunity

Lurie Children’s and its affiliates (collectively “Lurie Children’s”) embrace and celebrate diversity and equity. We are committed to building a team with a variety of backgrounds, skills, and viewpoints. Lurie Children’s and its affiliates are 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. For questions about how to request an accommodation please contact: [e-mail]