Demo

Certified Coding Auditor and CDI Specialist (RN/Nursing experience HIGHLY preferred)

Children’s Mercy
Kansas, MO Full Time
POSTED ON 1/22/2025
AVAILABLE BEFORE 4/17/2025

Overview

The Certified Coding Auditor and CDIS (Clinical Documentation Integrity Specialist) is filled by a professionally certified AHIMA, AAPC, or ACDIS and is responsible for the analysis of case mix comparison for the following account types; select outpatient, same day surgery, inpatient, emergency and urgent care accounts to identify clinical documentation gaps for the purpose of education and communication to physicians and hospital leadership. This role will work with other team members to develop educational plans for clinical documentation improvement in conjunction with documentation improvement, clinical, and organizational development.

  • Incumbent must have CCA or CCS or CCP or CPC or COC or CIC or RHIT or RHIA Required Upon Hire

Our CDI Specialist will perform all job functions in a virtual and paperless office, utilizing :

  • Hospital's ICD-CM Diagnostic and Procedure codes
  • Hospital's CPT HCPCS level II codes
  • The EHR
  • Microsoft Excel
  • Other software products as needed for data collection
  • The CDI Specialist will also have :

  • Interpersonal skills to interact with all levels of hospital staff
  • Strong analytical skills
  • Effective oral and written communication skills
  • Strong organizational skills
  • The ability to improve the overall quality and completeness of clinical documentation by employing all Federal regulations and AMA coding guidelines.
  • Strong cross disciplinary awareness
  • Understanding for data mining and assessment, clinical indicators of diseases, and coding regulations and guidelines
  • 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

  • Performs documentation analytics
  • Coordinates data pull and data integrity by creating reports and reviewing regulatory data pulls and audits. Works with IS to achieve best data pull options.
  • Codes outpatient, same day surgery, inpatient, emergency and urgent care accounts in accordance with the rules, regulations, and coding conventions of ICD CM and CPT official and other established guidelines. Identifies CCI edits on review of HCPCS Level II. Abstract patient data into the hospital's system. Obtain task queue daily and monitor and manage backlog
  • Develop and maintain querey templates
  • Code outpatient and inpatient patient types
  • Qualifications

  • Bachelor's Degree and 3-5 years experience, plus below certs OR
  • High School diploma, or equivalent, and 7 or more years experience. Pediatric coding utilizing ICD and CPT codes. Record review and reporting. CDI. May be accepted in lieu of a Bachelor's degree, plus below certs
  • One of the following Required Upon Hire : RHIT Registered Health Information Technician; RHIA Registered Health Information Administrator; CPC Certified Professional Coder; CCA Certified Coding Associate; CCP Certified Compliance Professional; CCS Certified Coding Specialist; COC Certified Outpatient Coder; CIC Certified Inpatient Coder
  • 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 $26.80 / hr, but your salaried offer will be determined based upon 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.

    Our commitment to Diversity & Inclusion

    CM is committed to creating a diverse and inclusive workforce. Our patients and families come from all walks of life, and so do we. 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, ethnicity, race, sex, sexual orientation, gender identity and expression, national origin, age, languages spoken, veteran status, color, religion, disability and beliefs.

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