Physician Billing Coder III

10 HOSP Ann & Robert H. Lurie Children's Hospital of Chicago; Chicago (IL); On-site; USD 81,664,128 - 133,528,012; Full time

Benefits offered by this job

Medical, dental and vision insurance

Paid time off and holidays

401(k) with employer match

Tuition assistance

Life and disability insurance

Employee assistance program

Job summary

Ann & Robert H. Lurie Children’s Hospital of Chicago is seeking a Professional Coder to conduct retrospective audits of ambulatory and inpatient physician documentation, ensuring billing accuracy and compliance.

You will educate physicians on coding guidelines and reconcile charges monthly to support accurate reimbursement. Minimum three years of coding experience with CPT/ICD-9 and E/M proficiency is required; CPC/CCS-P/CPMA certification is necessary.

Qualifications

• Certification as CPC, CCS-P, or CPMA required.
• High school diploma required.
• Minimum three years of coding experience required.
• Prior experience in E/M coding preferred.
• Pass CPT and ICD-9 coding tests required.
• Demonstrated knowledge of CPT/ICD-9 and E/M coding.

Responsibilities

• Review and audit physicians’ documentation in the medical record to verify CPT code accuracy.
• Determine visit, procedure and diagnosis codes based on documentation.
• Initiate corrections and resolve discrepancies.
• Educate physicians on documentation and coding guidelines.
• Present audit findings and recommendations to division heads and directors.
• Stay informed on coding guidelines and perform monthly reconciliations.
• Ensure timely submission of charges to billing services.

Education

CPC

CCS-P

CPMA

Tools

EPIC

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Overview

Ann & Robert H. Lurie Children’s Hospital of Chicago is the largest pediatric provider in the region with a 140‑year legacy of excellence and is ranked in all 10 specialties by U.S. News & World Report. We provide superior pediatric care and a patient‑centred environment that incorporates the newest medical technology, research and family‑friendly design.

Job Description Summary: Conduct retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Account for concurrent inpatient billing accuracy and compliance for selected divisions and provide physician education on coding and documentation guidelines.

Responsibilities

• Review and audit physicians’ documentation in the medical record and the level of CPT code selection to verify accuracy through a concurrent coding program.
• Determine visit, procedure and diagnosis code(s) based on documentation.
• Initiate corrections and resolve discrepancies.
• Confer with physicians to communicate and educate when deficiencies in documentation and code selection are identified.
• Meet with division heads and clinical practice directors or designees to present statistical data on audit findings, provide useful recommendations and documentation tools.
• Keep informed on coding and documentation guidelines.
• Perform monthly reconciliation between concurrent charges sent and entered.
• Ensure that all concurrent charges and necessary information are submitted to the billing service in a timely manner.
• Resolve all questions and problems with patients, third‑party payers, billing coordinators, coding and billing analysts and external billing services.
• Perform job functions adhering to service principles with a customer‑service focus of innovation, service excellence and teamwork to provide the highest quality care and service to patients, families, co‑workers and others.
• Other job functions as assigned.

Qualifications

• Certification as Professional Coder (CPC), Certified Coding Specialist – Physician (CCS‑P), or Certified Professional Medical Auditor (CPMA) – required.
• High school diploma – required.
• Minimum three years of coding experience – required.
• Prior experience in Evaluation and Management (E/M) coding – preferred.
• Demonstrate thorough knowledge of CPT and ICD‑9 coding by passing a test – required.
• Demonstrate thorough knowledge of E/M by passing a proficiency test – required.
• Ability to use computer software (EPIC, WORD, EXCEL, PowerPoint).
• Demonstrated knowledge and understanding of medical terminology, anatomy, physiology and coding classification systems in determining appropriate physician coding.
• Ability to communicate effectively, work independently and balance multiple priorities.

Compensation

Pay range: $28.50–$46.60 per hour. The range reflects minimum and maximum targets for this position and is reviewed regularly to stay aligned with market conditions. In addition to base salary, the hospital offers a comprehensive rewards package that may include hourly differentials, leadership incentives (for select roles), health and retirement benefits, and well‑being programs.

Benefits

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 insurance
• Employer contribution toward Health Savings Account and 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
• Discount on services at Lurie Children’s facilities and discount purchasing program

Equal Employment Opportunity

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.

Affirmative Action Statement

For employees seeking accommodations, please contact: [e-mail]