[Hiring] Senior Coder @Yale New Haven Health

Role Description

The Professional Senior Coder is a vital multifaceted role within the Coding Department. This position provides support as a Professional coding subject matter expert, educator, QA reviewer, and focuses daily efforts on Pre-A/R management and oversight. Responsibilities include:

• Managing day-to-day activities related to Professional Coding AR to ensure accuracy, completeness, and timeliness for charge review.
• Serving as a subject matter expert in Professional coding and existing workflows to staff and partner departments.
• Conducting regular QA reviews to identify coding errors and trends, communicating findings, and monitoring cases for improvement.
• Maintaining a minimum of 95% overall coding quality score in diagnostic, procedural, and modifier code selection.
• Participating in career development activities and sharing information with team members.
• Prioritizing coding workload appropriately to impact department goals.
• May serve in a lead capacity to provide support to the staff in absence of their supervisor.
• Performing all other duties or special projects requested by the manager.
• Exhibiting enthusiasm for the profession and remaining engaged in the goals and vision of the department.

Qualifications

• Bachelor's degree preferred in a health-related field.
• Coursework in anatomy and physiology, medical terminology, pathophysiology, and disease process strongly preferred.
• Five (5) or more years of progressive coding experience in Professional Coding.
• Fully proficient in a majority of the professional specialties as defined within the department.
• Prior experience in Epic required.
• Audit educator and/or coding lead support experience strongly preferred.
• CPC or CCS-P credential required; CCC and/or CIRCC preferred.
• Additional relevant coding certifications preferred.
• AAPC approved facilitator and/or education preferred.
• Extensive knowledge of all service lines within Professional coding.
• Advanced knowledge of Excel required.

Requirements

• Ability to resolve coding claim edits and have a general understanding of the revenue cycle.
• Ability to create dashboards, presentations, educational coding tools, and procedures with the use of technology and/or reporting.

Benefits

• Engagement in educational opportunities and department support offered.
• Professional standards of behavior are encouraged among staff.