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Sr. Coding & Reimbursement Specialist Job in Kansas City, Missouri

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Job Title: Sr. Coding & Reimbursement Specialist

Employer:Children's Mercy Kansas City
Type:FULL TIME
Job Location:Remote
Skills:Coding,Reimbursement,Auditing,Data Collection
Specialties:Hospital Coding
Required Certifications:COC or CPMA,CCS,CCA,RHIT,CPC,RHIA
Preferred Certifications:CCA,RHIT,RHIA,CPC,CCS,COC or CPMA
Location:2401 Gillham Road Kansas City 64108, MO, US
* Note: This listing is for a remote position
Date Posted:4/26/2022

Do you envision finding a meaningful role with an inclusive and compassionate team? At Children’s Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the patients and families we serve. Our employees make the difference, which is why we have been recognized by U.S. News & World Report as a top pediatric hospital, for eleven consecutive years.

Children’s Mercy is in the heart of Kansas City – a metro abounding in cultural experiences, vibrant communities and thriving businesses. This is where our patients and families live, work and play. This is a community that has embraced our hospital and we strive to say thanks by giving back. As a leader in children’s health, we engage in meaningful programs and partnerships throughout the region so that we can improve the lives of children beyond the walls of our hospital. 

Overview
The Senior Coding & Reimbursement Specialist position is filled by a professionally certified *(AHIMA) coder and is responsible for coding select outpatient, same day surgery, and inpatient accounts while employing all Federal and State regulations. *NCHS (CDC) and AMA coding guidelines and the AHIMA code of ethics will be strictly adhered to while applying codes to each account. The Senior Coder will have an elevated understanding of Federal and State coding mandates, while employing hospital and departmental policies, procedures, and compliance plans. The Senior Coding and Reimbursement Specialist position is a telecommuting position with mandatory on-site meetings. The Senior Coding & Reimbursement Specialist will perform all job functions in a virtual and paperless office utilizing: • ICD-CM Diagnostic • ICD-PCS • CPT HCPCS level II codes • The EHR • Computer Assisted Coding • Financial and Reimbursement System • Other software products as needed for data collection The Senior Coding & Reimbursement Specialist will be knowledgeable compliant with: • Official Guidelines* • Coding Clinics (Published by the American Hospital Association) • CPT Assistant • CMS • NCCI Edits • Children's Mercy Hospital coding rules and guidelines *The Senior Coding & Reimbursement Specialist must have knowledge of all regulatory agencies and guidelines outlined above. In addition, the Senior Coding & Reimbursement Specialist must demonstrate the ability to specifically discern between the various regulatory resources and the impact each rule and or regulation has on every code assigned. The Senior Coding & Reimbursement Specialist's knowledge and coding experience allows this coder to be placed in any coding venue and code at or above a 95% accuracy rate. The Senior Coding & Reimbursement Specialist is also able to trend and recognize potential problem prone codes and communicate effectively needs for focused record reviews. The Senior Coding & Reimbursement Specialist will assist the Coding Auditor with record reviews. 

At Children’s Mercy, we are committed to ensuring that everyone feels welcomed within our walls. A successful candidate for this position will join us as we strive to create a workplace that reflects the community we serve, as well as our core values of kindness, curiosity, inclusion, team and integrity. 

Additionally, it’s important to us that we remain transparent with all potential job candidates. Because we value the safety of the patients and families we serve, as well as the Children’s Mercy staff, we want to let you know that the seasonal influenza and COVID-19 vaccines are a condition of employment for all employees in our organization. New employees must be willing to be vaccinated if found non-immune to measles, mumps, rubella (MMR) and chicken pox (varicella) and/or without evidence of tetanus, diphtheria, acellular pertussis (Tdap) vaccination since 2005. If you become a finalist for this position, and have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with Human Resources.

Responsibilities

  • Codes assigned accounts in accordance with the rules, regulations, and coding conventions set forth by NCHS (CDC) and AMA.
  • Abstract patient data.
  • Communicates with leadership on identified query needs to clarify and improve documentation.
  • Assists the Coding Educator with coding record reviews for coding accuracy. Collaborates with the Coding Educator to plan and prepare presentations for providers and coworkers.

Qualifications

  • HS diploma or equivalent and 5-7 years PCS coding experience in Pediatrics or
    • Associate's Degree and 3-5 years PCS coding experience in Pediatrics or
    • Bachelor's Degree and 1-2 years PCS coding experience for those with the RHIT or RHIA as the qualifying certification, education experience while obtaining certification will be equated to related work experience.
  • One of the following: Certified Professional Coder, Registered Health Information Technician, Certified Coding Specialist, Certified Outpatient Coder, Certified Compliance Professional, Certified Professional Medical Auditor, Certified Coding Associate, Registered Health Information Administrator required upon hire
  • CCA or CCS or CPC or RHIT or RHIA or COC or CPMA Required Upon Hire

Remote Work/Work from Home
This position is entirely remote or work-from-home. The person hired must live in the Kansas City metro area and may attend on-site meetings, as scheduled.


EEO Employer/Disabled/Vet
Children’s Mercy hires individuals based on their job skills, expertise and ability to maintain professional relationships with fellow employees, patients, parents and visitors. A personal interview, formal education and training, previous work experience, references and a criminal background investigation all are factors used to select the best candidates. The hospital does not discriminate against prospective or current employees based on the race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry or veteran status. A drug screen will be performed upon hire. Children’s Mercy is smoke and tobacco free.

Our commitment to Diversity & Inclusion
CM is committed to creating a diverse and inclusive workforce. Our patients and families come from all walks of life, and so do we. We know that our greatest strengths come from the people who make up our team, so we hire great people from a wide variety of backgrounds, not just because it’s the right thing to do, but because it makes our hospital stronger and our patient care more compassionate.

If you share our values and our enthusiasm for service, you will find a home at CM. In recruiting for our team, we welcome the unique contributions that you can bring, including education, ideas, culture, ethnicity, race, sex, sexual orientation, gender identity and expression, national origin, age, languages spoken, veteran status, color, religion, disability, and beliefs.

Applying

Glenda King
Talent Recruiter
gpking@cmh.edu
(816) 683-9334

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