Physician Coding Specialist II - PBB-1

10 HOSP Ann & Robert H. Lurie Children's Hospital of Chicago; Chicago (IL); On-site; USD 36,000 - 59,000; Full time

Job summary

Ann & Robert H. Lurie Children’s Hospital of Chicago is seeking a professional medical coder/auditor to review physician documentation and ensure correct CPT code selection. You will determine visit, procedure and diagnosis codes from records, educate physicians on deficiencies, and present audit findings to leadership.

Maintain current CPT/ICD-9 knowledge and perform reconciliations with billing services. The ideal candidate has a high school diploma, 3+ years coding experience, and proficiency

Qualifications

• High school diploma required.
• Certification CPC/CCS-P/CPMA required.
• Minimum of three years of coding experience required.
• Thorough knowledge of CPT and ICD-9 coding; E/M proficiency test.
• Proficiency with EPIC, Word, Excel and PowerPoint.

Responsibilities

• Review and audit physicians' documentation and CPT code selection for accuracy.
• Determine visit, procedure and diagnosis codes based on documentation.
• Initiate corrections and resolve discrepancies.
• Educate physicians when deficiencies in documentation and code selection are identified.
• Present audit findings and recommendations to Division Heads and Clinical Practice Directors.
• Stay informed on coding and documentation guidelines.
• Perform monthly reconciliation between concurrent charges and billing.
• Resolve questions with patients, third party payers, billing coordinators and external services.
• Perform other assigned functions with focus on service excellence.

Skills

Communication

Independent work

Multitasking

Education

High School Diploma/GED

CPC

CCS-P

CPMA

Tools

EPIC

Word

Excel

PowerPoint

Job description

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.

Location

680 Lake Shore Drive

Job Description

• 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.

Education

High School Diploma/GED (Required)

Pay Range

$26.25-$42.92 Hourly

At Lurie Children’s, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. 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.

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 Ann & Robert H. Lurie Children’s Hospital of Chicago and its affiliates (collectively “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.

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.

For questions about how to request an accommodation please contact: [e-mail]

AI Notice

Lurie Children’s utilizes certain AI-enabled features within our recruiting platform to support candidate engagement and assist recruiters in identifying and prioritizing applicants whose experience aligns with job requirements.

All employment decisions are made by individuals. It is a civil rights violation with respect to recruitment, hiring, promotion, or employment for an employer to use artificial intelligence that has the effect of subjecting employees to discrimination on the basis of protected classes under the Illinois Human Rights Act or to use zip codes as a proxy for protected classes.

For questions about the use of artificial intelligence in this process or any additional support, please contact: [e-mail]

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.