Spec, Coding and Quality Review

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

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

• Review and resolve facility bill holds, coding edits and denials/claims rejections to ensure timely and accurate claim submissions and expected reimbursement. With a focus on coding analysis, quality reviews and patient satisfaction.
• Provide coding/billing support for Revenue Cycle and Clinical areas acting as a resource of knowledge and skill.
• Assists in maintaining, reviewing and disseminating up-to-date coding information, including additions, deletions and changes to CPT-4 and ICD-10-CM codes
• Adheres to service excellence guidelines and CMH policies and procedures and demonstrates exceptional customer service delivery in daily interactions with internal and external customers.

Qualifications

• One of the following: Certified Professional Coder, Certified Professional Coder - Apprentice, Certified Outpatient Coder, Certified Outpatient Coder Apprentice required upon hire
• Employees must obtain Certified Professional Coder - Apprentice or equivalent within 365 days
• Employees must obtain Certified Outpatient Coder Apprentice or equivalent within 365 days
• Employees must obtain Certified Professional Coder or equivalent within 365 days

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 $25.52/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 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.