Sr Coding & Reimbursement Specialist-Certified
About The Position
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, whild 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. 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. Ideal candidates will have ED Coding experience
Requirements
- Professionally certified (AHIMA) coder
- Elevated understanding of Federal and State coding mandates
- Knowledge of all regulatory agencies and guidelines
- Knowledge and coding experience allows this coder to be placed in any coding venue
- 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
Nice To Haves
- ED Coding experience
Responsibilities
- Coding select outpatient, same day surgery, and inpatient accounts while employing all Federal and State regulations.
- Strictly adhere to NCHS (CDC) and AMA coding guidelines and the AHIMA code of ethics while applying codes to each account.
- Employ hospital and departmental policies, procedures, and compliance plans.
- 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
- 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
- Demonstrate the ability to specifically discern between the various regulatory resources and the impact each rule and or regulation has on every code assigned.
- Code at or above a 95% accuracy rate.
- Trend and recognize potential problem prone codes and communicate effectively needs for focused record reviews.
- Assist the Coding Auditor with record reviews.
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.
- Learn more about Children's Mercy benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
