Coding & Reimbursement Specialist

Children's Mercy

  • Overland Park, KS
  • Permanent
  • Full-time
  • 1 day ago
Thanks for your interest in Children's Mercy!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.OverviewThe Coding & Reimbursement Specialist position is filled by a professionally certified *(AHIMA or AAPC) coder and is responsible for coding select outpatient, same day surgery, emergency, urgent care and inpatient accounts while employing all Federal, State and Hospital regulations. *AMA, AHIMA, and *AAPC coding guidelines and code of ethics will be strictly adhered to while applying codes to each account. The Coder will have an elevated understanding of Federal and State coding mandates, guidelines and departmental and hospital policies and procedures. The 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 •Computer Assisted Coding •Financial and Reimbursement System •Other software products as needed for data collection The Coding & Reimbursement Specialist codes will be used for the following purposes: •Reimbursement •RVU data •Research The Coding & Reimbursement Specialist codes will be 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 Coding & Reimbursement Specialist must have knowledge of all regulatory agencies and guidelines outlined above. In addition, the 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. #LI-DNIThis role is remote but the incumbent must live within driving distance of the Riverside, MO campus.*An ICD-10 and CPT exam will be given to all finalist candidates.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 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 AHA for ICD-CM and AMA for CPT.
  • Abstract patient data into the Hospital abstract.
  • Communicates with Care Providers by creating queries to clarify and improve documentation.
Qualifications
  • Bachelor's Degree in Health Information Management, Hospital Administration, Business or related field of study, plus 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, plus 3-5 years' experience in Pediatrics.
  • High School diploma, or equivalent, plus 5-7 years' experience in Health Information Management, Hospital Administration, Business or related. Pediatrics experience is required.
  • One of the following Required at Hire: Certified Professional Coder, Certified Coding Specialist, Registered Health Information Technician, Certified Coding Associate, Certified Outpatient Coder, Registered Health Information Administrator, Certified Professional Medical Auditor
Benefits at Children's MercyThe 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 PayOur pay ranges are market competitive. The pay range for this job begins at $24.31/hr, but your offer will be determined based on your education and experience.Remote Work/Work from HomeThis 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/VetChildren’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.

Children's Mercy