Director of Professional Revenue Cycle

Do you envision finding a meaningful role with an inclusive and compassionate team At Childrens 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.

Childrens 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 childrens 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.

Reporting to the VP of Revenue Cycle this leadership role provides oversight management and is accountability for all Professional Revenue coding and related processes including: all professional service coding Provider/Physician documentation and coding education for enhanced performance coding and regulatory changes quality reviews outsourced coding vendor management and team performance and development. This leader proactively engages as a trusted business partner with their direct and indirect coding teams coding vendor teams physicians and providers Revenue Cycle other stakeholder leadership and teams to maximize professional revenue across the enterprise.

At Childrens 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 its 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 Childrens 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 nonimmune 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.

• Responsible for management of all coding teams and vendors related to professional services within the CMKC enterprise with an efficient and effective focus meeting bestpractice industry benchmarks identifying and addressing areas of improvement and risk partnering with physician/clinical and operational leadership to drive defined optimal coding performance and professional revenue while meeting and maintaining regulatory and bestpractices for their teams.

• Provides oversight management and monitoring of all communication updates and issues for coding educators Coders Coding Auditors Coding Supervisors and Managers Coding Vendors enterprise physicians and providers.

• Provides codingrelated technology and tool oversight management and monitoring of all coding operations including coding accuracy timely processing coding resource and vendor performance where applicable. Collaborates and manages work queue development standardization oversight and management including standardization and maintenance of work queue ownership oversight of work queue escalation policies high level monitoring of work queues to ensure timely work queue issue resolution.

• Manages and collaborates with stakeholders for consistent charge capture reconciliation/validation process across all Professional revenue departments and practices. Charge Capture Optimization (use of EMR and implementation of Electronic Charge Capture) Payor Incentive MaximizationIn coordination of Payer Relations achieve the following: Evaluate and implement processes to maximize incentives captured across all CM practices and departments. Develop tools to facilitate compliance with payor incentive programs across the organization.

• Masters Degree or 7 or more years experience Masters degree in health administration or other related field is preferred. Minimum of 10 years healthcare revenue cycle experience in a provider and or hospital setting.
• One of the following: Registered Health Information Administrator Registered Health Information Technician Certified Professional Coder required upon hire
• RHIMA or RHIA or RHIT or CPC Required Upon Hire

The benefits plans at Childrens 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.

Our pay ranges are market competitive. The pay range for this job begins at $56.42/hr but your offer will be determined based on your education and experience.

This is an intermittent remote position which means that the person hired will work with his or her manager to determine a schedule that includes both at home and onsite hours at a Childrens Mercy location. The incumbent must live in the Kansas City metro area.

Childrens 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. Childrens Mercy is smoke and tobacco free.

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 its 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.