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Coder Him Jobs

Insight Hospital and Medical Center Chicago

Lurie Children's

Powers Health

Onsite

Hybrid

<p style="text-align:left"><span>Ann &amp; 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 &amp; Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News &amp; World Report.</span></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p>Day (United States of America)<p style="text-align:inherit"></p><p style="text-align:inherit"></p><div><div><div><div><div><div><div><p style="text-align:left"><span><span><span><u><b>Location</b></u></span></span></span></p></div></div></div></div></div></div></div>680 Lake Shore Drive<p style="text-align:inherit"></p><p style="text-align:inherit"></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p style="text-align:left"><span><span><span><u><b>Job Description</b></u></span></span></span></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p></p><p>Responsible for timely and accurate coding and abstracting of Inpatient visits. Codes and abstract patients following established coding guidelines and utilizing ICD-10 code sets.  This position ensures that revenue cycle, customer service, quality, individual, and team goals are met.</p><p></p><p><b>Essential Job Functions:</b></p><ul><li><p>Thorough review of inpatient encounter documentation for diagnoses, treatments, services.  Performs daily coding and abstracting utilizing ICD-10 Code sets and DRG Grouping systems.</p></li><li><p>Validates MS-DRG and APR-DRG assignment for appropriateness to encounter</p></li><li><p>Performs weekly coding of Inpatient Interim Bill Requests</p></li><li><p>Review of Clinical Documentation Specialists notes and queries to ensure capture of queried conditions. </p></li><li><p>Validates admission diagnosis assignment and coordinates correction with Case Management personnel when appropriate. </p></li><li><p>Identifies documentation issues that may lead to incorrect coding, billing, and quality metrics.  Communicates issues to Clinical Documentation Specialists for clarification and/or resolution when appropriate.</p></li><li><p>Facilitates accurate Hospital Acquired Conditions reporting with Infection Control and/or coordinates retrospective query with CDI team as appropriate.</p></li><li><p>Performs research and/or seeks assistance from Nosology, CHA and American Hospital Association on complex coding cases.  Documents findings and educates team on coding guidance.</p></li><li><p>Makes recommendations on Epic coding and SVC edits to prevent coding, billing, IHA and claim edits. </p></li><li><p> Maintains quality standards of AHA, AMA, CMS, OIG and TJC pertaining to coding and reimbursement</p></li><li><p>Stay current in Coding changes by reading, maintaining CEUs, and attending education sessions related to Coding and Health Information Management</p></li><li><p>Trains and orients new employees</p></li><li><p>Assists with testing and implementation of systems/product changes and upgrades.</p></li><li><p>Performs other duties as assigned by the coding manager or the director.</p></li></ul><p></p><p><b>Knowledge, Skills and Abilities: </b></p><ul><li><p>Must possess a minimum of CCS, RHIA, or RHIT credential.  Must maintain credential status through obtaining continuing education requirements.</p></li><li><p>Must have completed and continue to demonstrate proficiency in coding program curriculum to include full courses Medical Terminology, Anatomy and Physiology, Medical Sciences, Pharmacology, ICD-10-CM, CPT, and Healthcare Data Content Structures.</p></li><li><p>Completion of an AHIMA approved RHIT, RHIA, or CCS program. </p></li><li><p>Must pass Lurie Children’s Coding Exam with a minimum of 90% score<b>.</b></p></li></ul><ul><li><p>Minimum of one year prior hospital coding experience required.  Inpatient APR DRG experience preferred.</p></li><li><p>Must have a working proficiency of Microsoft Office applications and computer skills to effectively navigate an EMR.</p></li><li><p>Must be able to type a minimum of 30 Wpm.</p></li><li><p>Must be able to communicate effectively with all Lurie staff; clinical, clerical, management.  Excellent communication skills necessary for interaction at all levels of staff</p></li><li><p>Must be able to communicate effectively with external contacts:  outside vendors as required in the execution of problem solving activities and assisting patients/visitors with their needs.</p></li><li><p>Ability to handle multiple projects. Ability to appropriately prioritize tasks.  Ability to cope with the inherent pressures of a results deadline oriented position.</p></li></ul><p></p><p></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><u><b>Education</b></u></p>Associate's Degree: Health Administration (Required)<p style="text-align:inherit"></p><p style="text-align:inherit"></p>(CCS) - Certified Coding Specialist - American Health Information Management Association, (RHIA) - Registered Health Information Administrator - American Health Information Management Association, (RHIT) - Registered Health Information Technician - American Health Information Management Association<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b><u>Pay Range</u></b></p>$31.50-$51.50 Hourly<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p><span>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.</span> <span>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 </span><a href="https://careers.luriechildrens.org/globalassets/media/pages/for-employees/2025-lurie-hospital-benefit-summary_es.pdf" target="_blank">link</a><span> to learn more about our benefits.</span></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left !important"><b><u>Benefit Statement</u></b></p><p style="text-align:inherit !important"></p><p style="text-align:left !important"><b>For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:</b></p><p style="text-align:left !important">Medical, dental and vision insurance</p><p style="text-align:left !important">Employer paid group term life and disability</p><p style="text-align:left !important">Employer contribution toward Health Savings Account</p><p style="text-align:left !important">Flexible Spending Accounts</p><p style="text-align:left !important">Paid Time Off (PTO), Paid Holidays and Paid Parental Leave</p><p style="text-align:left !important">403(b) with a 5% employer match</p><p style="text-align:inherit !important"></p><p style="text-align:left !important">Various voluntary benefits:</p><ul><li><p style="text-align:left !important">Supplemental Life, AD&amp;D and Disability</p></li><li><p style="text-align:left !important">Critical Illness, Accident and Hospital Indemnity coverage</p></li><li><p style="text-align:left !important">Tuition assistance</p></li><li><p style="text-align:left !important">Student loan servicing and support</p></li><li><p style="text-align:left !important">Adoption benefits</p></li><li><p style="text-align:left !important">Backup Childcare and Eldercare</p></li><li><p style="text-align:left !important">Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members</p></li><li><p style="text-align:left !important">Discount on services at Lurie Children’s facilities</p></li><li><p style="text-align:left !important">Discount purchasing program</p></li></ul><p style="text-align:inherit !important"></p><p style="text-align:left !important"><b><u>There’s a Place for You with Us</u></b></p><p style="text-align:inherit !important"></p><p style="text-align:left !important">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.  </p><p style="text-align:inherit !important"> </p><p style="text-align:left !important"><i>Lurie Children’s and its affiliates are equal employment opportunity employers.  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.</i></p><p style="text-align:left !important">Support email: <a target="_blank" href="mailto:peoplequestions&#64;luriechildrens.org"><span style="color:#0000ff"><u>peoplequestions&#64;luriechildrens.org</u></span></a></p>

HIM Coder III

CCS/RHIA/RHIT credential with at least 1 year hospital coding experience; inpatient coding and ICD-10-CM/CPT knowledge; strong EMR skills and communication; associate degree in Health Administration or related field.

<div>WE ARE INSIGHT:<br />
At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!<br />
 <br />
These duties are to be performed in a highly confidential manner, following the mission, values, and behaviors of Insight Hospital and Medical Center.  Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians,</div>

<div>volunteers, and guests.<br />
 <br />
<b>POSITION PURPOSE</b>: Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and/or Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) &amp; Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records.   <br />
<br />
Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes, MS-DRG, POA, SOI &amp; ROM assignments and assignment of APC’s and all required modifiers. <br />
<br />
 Assigns appropriate code(s) by utilizing coding guidelines established by:</div>

<div> </div>

<ul>
	<li> The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS         Official Guidelines for Coding and Reporting</li>
	<li>  American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification</li>
	<li> American Medical Association (AMA) CPT Assistant for CPT codes</li>
	<li>  American Health Information Management Association (AHIMA) Standards of Ethical Coding</li>
	<li>  Revenue Excellence/RHM Organization coding policies</li>
</ul>

<div><br />
<br />
<b>ESSENTIAL FUNCTIONS</b>:</div>

<ul>
	<li>Knows, understands, incorporates, and demonstrates the Insight Hospital Mission, Vision, and Values in behaviors, practices, and decisions.   </li>
	<li>Adheres to Insight Health confidentiality requirements as they relate to the release of any individual or aggregate patient information.</li>
	<li>Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs.  </li>
	<li>Codes Complex Outpatient or Inpatient utilizing encoder software and online tools and references, in the assignment of ICD, CPT, HCPCS codes, MS-DRG, POA, SOI &amp; ROM assignments, APC assignment and all required modifiers. </li>
	<li>Consults reference materials to facilitate code assignment.</li>
	<li>Understands appropriate link of diagnosis to procedure.</li>
	<li>Appends modifier(s) to procedure code or service when applicable.</li>
	<li>Collaborates with HIM and Patient Financial Services in resolving billing and utilization issues affecting reimbursement. </li>
	<li>Interprets bundling and unbundling guidelines (NCCI).</li>
	<li>Interprets LCDs/NCDs and payer policies.</li>
	<li>Tracks issues (i.e., missing documentation, charges or Inpatient queries that require follow-up to facilitate coding in a timely fashion).</li>
	<li>Investigates claims denials and/or appeals as directed.</li>
	<li>Consistently meets or exceeds coding quality and productivity standards.</li>
	<li>Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.</li>
	<li>Identifies concerns and responsible for providing resolution of moderate to complex problems.  Notifies appropriate leadership for resolution when appropriate.</li>
	<li>Performs other duties as assigned by Leadership.</li>
	<li>Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior</li>
</ul>

<div><br />
 <br />
<b>MINIMUM QUALIFICATIONS:</b></div>

<ul>
	<li>Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate’s degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor’s degree in Health Information Management (HIM) or related healthcare field is preferred.  </li>
	<li> </li>
	<li>Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA).</li>
	<li>Two (2) years of current Complex Outpatient or Inpatient coding experience is required.  Three (3) to five (5) years of current Complex Outpatient or Inpatient coding experienced preferred. Current experience doing remote coding is a plus. </li>
	<li>Extensive comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG or APC grouping. Current experience doing remote coding is a plus.</li>
	<li>Current experience utilizing encoding/grouping software or CAC is preferred.  Ability to utilize both manual and automated versions of the ICD, CPT, and HCPCS coding classification systems is preferred.</li>
	<li>Ability to use a standard desktop and windows-based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools desirable. </li>
	<li>Strong written and oral communication skills, that may be used either on-site or in virtual working environments.  Ability to communicate effectively with individuals and groups representing diverse perspectives.</li>
	<li>Ability to work with minimal supervision and exercise independent judgment.</li>
	<li>Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge.  Must exhibit critical thinking skills and possess the ability to prioritize workload.</li>
	<li>Excellent organizational skills.  Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills.  </li>
	<li>Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions.</li>
	<li>Ability to change and be flexible with work priorities.  Strong problem solving- abilities.</li>
	<li>Must be comfortable functioning in a virtual, collaborative, shared leadership environment.</li>
	<li>Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Insight Hospital, Chicago.</li>
</ul>

<div> </div>

<div><b>PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITION</b>: </div>

<ul>
	<li>Must be able to set and organize own work priorities and adapt to them as they change frequently.  Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles. </li>
	<li>Must possess the ability to comply with Insight Hospital policies and procedures. </li>
	<li>Must be able to spend majority of work time utilizing a computer, monitor, and keyboard. </li>
	<li>Must be able to perform some lifting and/or pushing/pulling up to 20 pounds if applicable. </li>
	<li>Must be able to work with interruptions and perform detailed tasks.</li>
	<li>If applicable, involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading.  Must be able to sit for long periods of time.</li>
	<li>Must be able to travel to Insight Hospital (10%) as applicable. </li>
	<li>If applicable, telecommuting (working remotely), must be able to comply with Insight Hospital Working Remote Policy.</li>
</ul>

<div><b>Benefits:</b></div>

<ul>
	<li>Paid Sick Time - effective 90 days after employment</li>
	<li>Paid Vacation Time - effective 90 days after employment</li>
	<li>Health, vision &amp; dental benefits - eligible at 30 days, following the 1st of the following month</li>
	<li>Short and long-term disability and basic life insurance - after 30 days of employment</li>
</ul>

<div><br />
 <br />
<b>Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs</b>.<br />
 <br />
Insight is an equal opportunity employer and values workplace diversity!<br />
 </div><br />

Coder lll -Inpatient Coder

Inpatient Coder

AHIMA/AAPC coding program completion or HIM-related degree; CCS/CPC/RHIT/RHIA certifications; 2 years coding experience; remote coding experience a plus

<div class="fieldValueText">
<p><span style="font-size:11px;"><span style="line-height:normal"><b><u>Position Title</u>:&nbsp; Provider Advisor</b></span></span></p>

<p><span style="font-size:11px;"><span style="line-height:normal"><b><u>Location</u>:</b>&nbsp;St. Mary Medical Center - Hobart, IN 46342</span></span></p>

<p>&nbsp;</p>

<p><span style="font-size:11px;"><u><strong>Position Summary</strong></u>:</span></p>

<p><span style="font-size:11px;">The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical reviews, consulting with Physicians on patient status and resource use, collaborating with care management and health information management (HIM) to improve documentation and coding, and acting as a liaison with third-party payers for appeals and authorizations. The goal is to ensure accurate reimbursement, efficient use of hospital services, adherence to regulations, and ultimately, better patient care and outcomes.</span></p>

<p><span style="font-size:11px;"><span style="line-height:normal"><b><u>Education &amp; Experience Requirements</u>:</b></span></span></p>

<p>&nbsp;</p>

<ul>
	<li class="CxSpMiddle">
	<p><span style="font-size:11px;"><span style="line-height:normal">Graduate of an accredited Physician Assistant (PA)&nbsp;school.&nbsp; Completion of an Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) approved program.</span></span><span style="line-height:normal"><span style="tab-stops:list .25in"><w:sdtpr></w:sdtpr></span></span></p>
	</li>
	<li class="CxSpMiddle">
	<p><span style="font-size:11px;"><span style="line-height:normal">Current certification by the National Commission on Certification of Physician Assistants (NCCPA).</span></span></p>
	</li>
	<li class="CxSpMiddle">
	<p><span style="font-size:11px;"><span style="line-height:normal">Current active licensure to practice as a PA in the State of Indiana.</span></span></p>
	</li>
	<li class="CxSpMiddle">
	<p><span style="font-size:11px;"><span style="line-height:normal">Board Certification is required to be granted necessary hospital privileges for employment.</span></span></p>
	</li>
	<li class="CxSpMiddle">
	<p><span style="font-size:11px;">Maintain active CPR certification.</span></p>
	</li>
	<li class="CxSpMiddle">
	<p><span style="font-size:11px;"><span style="line-height:normal">Minimum of 5 years&nbsp;of medical clinical practice or previous role as Provider Advisor.</span></span></p>
	</li>
	<li class="MsoBodyTextIndent">
	<p><span style="font-size:11px;"><span style="font-style:italic"><span style="font-style:normal">Knowledge of and ability to apply professional medical principles, procedures, and techniques.</span></span></span></p>
	</li>
	<li class="MsoBodyTextIndent">
	<p><span style="font-size:11px;"><span style="font-style:italic"><span style="font-style:normal">Excellent verbal and written communication skills to communicate effectively with other physicians, staff, patients, payors, etc. </span></span></span></p>
	</li>
	<li class="MsoBodyTextIndent">
	<p><span style="font-size:11px;"><span style="font-style:italic"><span style="font-style:normal">Effective ability to communicate recommendations or suggestions in a balanced way to the Physicians and staff.</span></span></span></p>
	</li>
	<li>
	<p><span style="font-size:11px;"><span style="line-height:115%">Experience in hospital process; i.e., utilization management, case management, clinical care protocols, and coding and billing with strong knowledge of regulatory requirements such as CMS and Joint Commission and payor guideline.</span></span></p>
	</li>
	<li>
	<p><span style="font-size:11px;"><span style="line-height:115%">Maintain concise, timely, and accurate confidential records of patients. </span></span></p>
	</li>
	<li>
	<p><span style="font-size:11px;"><span style="line-height:115%">Ability to analyze complex clinical and administrative data and provide actionable recommendations.</span></span></p>
	</li>
	<li style="margin-bottom:13px">
	<p><span style="font-size:11px;"><span style="line-height:115%">Good time management skills.&nbsp; Strong decision making and practice skills.</span></span></p>
	</li>
</ul>
</div>


Provider Advisor

Physician Assistant with NCCPA certification, Indiana PA license, ARC-PA accredited PA program graduate; minimum 5 years clinical experience; hospital privileges via board certification; CPR; strong communication; knowledge of CMS/Joint Commission; proficient in utilization management and coding.

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Coder Him Jobs in Westmont, IL, US

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