HIM Coder II

Description

Responsible for timely and accurate coding and abstracting of Emergency Room, Outpatient Surgery, Observations, Partial Hospitalizations and Ancillary visits. Codes and abstracts following established coding guidelines and utilizes ICD-10-CM, ICD-10-PCS, HCPCs, and CPT code sets. This position ensures that revenue cycle, customer service, quality, individual, and team goals are met. Essential Job Functions :

• Review of outpatient visit documentation for diagnoses, treatments, and services; assign ICD-10, HCPCs, CPT codes, and modifiers as appropriate to Emergency department, Partial Hospitalizations, Outpatient Surgery, and Ancillary Visits.
• Facilitates correction of incorrect service date, admit diagnoses, charges, and patient class with front end revenue cycle departments.
• Identification of trends in ADT errors and facilitates education and correction.
• Prioritizes work to ensure revenue cycle goal achievement of 4 days post discharge and / or below Average Daily Revenue.
• Maintains quality standards of CMH, AHA, AMA, CMS, OIG and TJC pertaining to coding and reimbursement
• Perform daily, weekly, monthly work queue reconciliation; identify old accounts, check for documentation, contact appropriate parties to obtain documentation required for coding and billing
• Performs research and / or seeks assistance from Nosology and American Hospital Association on complex coding cases. Documents findings and educates team on coding guidance.
• Coordinates with Patient Financial Services to reconcile any DNB, IHA errors, denials or claim edits.
• Queries providers utilizing Epic Physician Query Process in accordance to AHA guidelines when appropriate
• Makes recommendations on Epic coding and SVC edits to prevent coding, billing, and claim edits.
• Trains and orients of new employees
• Abstracting required data elements for internal and external reporting needs
• Stay current in Coding changes by reading, maintaining CEUs, and attending education sessions related to Coding and Health Information Management.
• Participates in revenue cycle and HIM project workgroups.
• Performs other duties as assigned by the coding manager and / or the director.

Knowledge, Skills and Abilities :

Education High School Diploma / GED (Required) Pay Range $28.50-$46.60 HourlyAt 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. For more details on other compensation, consult your recruiter or click the following to learn more about our benefits. 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 insuranceEmployer paid group term life and disabilityEmployer contribution toward Health Savings AccountFlexible Spending AccountsPaid Time Off (PTO), Paid Holidays and Paid Parental Leave403(b) with a 5% employer matchVarious 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 Lurie Children’s, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints — recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. 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. Support email :