Sr. Coding & Reimbursement Specialist

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.

Overview

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.   #LI-DNI

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 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 Care Providers by creating queries to clarify and improve documentation.

Qualifications

• Bachelor's Degree 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. or
• Associate's Degree Health Information Management, Hospital Administration, Business or related field of study and 3-5 years experience in Pediatrics or
• 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

Benefits at Children's Mercy

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

Our pay ranges are market competitive. The pay range for this job begins at $28.20/hr, but your offer will be determined based on your education and experience.

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 or request advanced approval to work outside of the area and may attend onsite 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 are all 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.

CM is committed to creating a workforce that supports the diverse backgrounds of our patients and families. 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, and beliefs.

Salary : $28