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Sr Coding & Reimbursement Specialist

Children's Mercy Hospital, Kansas City missouri

Job Responsibilities: Facilitate the electronic charge capture process for all assigned clinical departments per coding compliance and CMH charge capture protocols by proactively identify charge capture opportunities and collaborate with Clinical department leadership, Clinical Informatics, Information Systems and Corporate Compliance. Monitor charge reconciliation process for assigned clinical departments and serve as a resource in education and support for their charge capture reconciliation processes. Proactively identifies charge capture opportunities and monitors assigned clinical departments to ensure compliance with CMH charge capture protocols. # In order to provide the highest standard of facility coding and billing services to the organization, this position requires an extensive knowledge of the CPT procedure codes, ICD-10-CM diagnosis codes, HCPCS II codes and modifiers. In addition, an advanced degree of knowledge including but not limited third party and government reimbursement policies are necessary.# The incumbent must understand and be able to apply all charging, coding and documentation related regulations to assure Hospital Compliance. # Job Requirements: High School Diploma or equivalent and 5-7 years# experience in Pediatrics 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 preferred CCS, CCS-P (or test eligible) --OR--#CPC, COC, CIC #OR--#RHIT, RHIA (or test eligible) required Knowledge of how to manage files within Microsoft products is necessary to gain work lists Knowledge of Excel is necessary to maintain productivity records and developing record review statistics Medical Terminology # EEO Employer/Disabled/Vet# #
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