[Hiring] Senior Professional Coder @Shriners Children's

Role Description

Do you have at least 7 years of experience doing complex profee surgical coding? Do you thrive on the challenge of diving into and researching proper codes to assign to a complex surgical procedure? Then this position may be for you!

The Senior Professional Coder performs at an advanced level medical coding position and serves as an expert utilizing ICD-10 and CPT4 classification system coding to all diagnoses, treatments and procedures in all types of Hospital, Clinic and Ambulatory Surgical Center (ASC) locations at stated minimum performance levels. In addition, the Senior Professional Coder provides coding insight and guidance to clinical staff, Clinical Documentation Improvement (CDI), Professional Coder 1 and Professional Coder II positions as well as Revenue Cycle leadership.

Key Responsibilities:

• Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and completely.
• Reconcile correct coding edits and discrepancies prior to final coding.
• Maintain coding quality of 95% or higher while meeting established productivity requirements based on encounter type.
• Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations.
• Identify trends in documentation deficiencies and communicate areas of improvement opportunities to leadership and/or providers.
• Act as a key liaison for the physicians and clinical staff as it relates to coding and compliance.
• Interact with physicians and other professional staff on documentation issues relating to coding data.
• Act as a mentor to Coder I and Coder II staff.
• Provide system and workflow training to newly employed coders.
• Prepare and present education in conjunction with the Revenue Integrity Professional Coding Educator.
• Be the primary contact for Revenue Cycle team throughout Shriners Hospitals for Children (SHC) system to assist with coding questions.
• Act as backup for Revenue Integrity Professional Coding Lead.

Qualifications

• 7 years of coding experience in inpatient/outpatient professional surgery.
• Experience with Surgery Coding guidelines, E/M Coding Guidelines, CPT Coding, ICD-10, Modifiers, HCPCS and CCI edits.
• Pediatric, orthopedic and/or injury coding experience.
• Experience with education and presentations.
• Functional knowledge of Medical Terminology.
• Functional knowledge of professional coding practice standards.
• Functional knowledge of MS Office.
• High School Diploma or GED.
• Current CCS-P (AHIMA) or CPC (AAPC).

Compensation

Compensation is determined based on years of relevant experience and departmental equity.