[Hiring] Senior Coding & Reimbursement Specialist @Children's Mercy KC

Role Description

The Senior Coding & Reimbursement Specialist position is filled by a professionally certified (AHIMA) coder and is responsible for coding 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 & Reimbursement Specialist will perform all job functions in a virtual and paperless office utilizing:

• ICD-CM Diagnostic and Procedure codes
• CPT HCPCS level II codes
• The EHR
• 3M Computer Assisted Coding
• Financial and Reimbursement System
• Other software products as needed for data collection

The Senior Coding & Reimbursement Specialist codes will be used for the following purposes:

• Reimbursement
• DRG data
• Research

The Senior Coding & Reimbursement Specialist will be knowledgeable compliant with:

• ICD-CM Official Guidelines
• Coding Clinics (Published by the American Hospital Association)
• CPT Assistant (Published by the American Medical Association)
• CMS
• NCCI Edits
• AHA CPT Coding guidelines
• UHDDS guidelines
• AAPC and AHIMA Code of Ethics
• 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.

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 vaccine is 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 are selected for this position, you will be asked to supply your immunization records as proof of vaccination. If you have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with Human Resources.

Qualifications

• Bachelor's Degree in Health Information Management, Hospital Administration, Business or related field of study and 1-2 years experience
• For those with the RHIT or RHIA as the qualifying certification, education experience while obtaining certification will be equated to related work experience.
• Associate's Degree in Health Information Management, Hospital Administration, Business or related field of study and 3-5 years experience in Pediatrics
• HS diploma or equivalent and 5-7 years experience in Pediatrics
• Must have one of the following upon hire:
  • Certified Professional Coder
  • Certified Coding Specialist
  • Certified Outpatient Coder
  • Certified Compliance Professional
  • Certified Professional Medical Auditor
  • Certified Coding Associate
  • Registered Health Information Technician
  • Registered Health Information Administrator

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 Care Providers by creating queries to clarify and improve documentation.

Benefits

• The benefits plans at Children’s Mercy are one of many reasons we are recognized as one of the best places to work in Kansas City.
• Our plans are designed to meet the changing needs of our employees and their families.
• Starting Pay: The pay range for this job begins at $28.20/hr, but your offer will be determined based on your education and experience.
• This position is entirely remote or work from home. The person hired must live in the Kansas City metro area or request advanced approval to work outside of the area and may attend onsite meetings, as scheduled.