Senior Professional Coder - Surgery / Inpatient E/M

Company Overview

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Shriners Children's is a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience defines us as leaders in pediatric specialty care for our children and their families.

Job Overview

Shriners Children's is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center.  We have an opportunity for a Senior Professional Coder reporting into our Corporate Headquarters.

 

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.

 

This position will have a heavy emphasis on Inpatient/Outpatient Surgical Coding and / or Inpatient E/M coding.

Responsibilities

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
• Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
• Identify trends in documentation deficiencies and communicates areas of improvement opportunities to leadership and/or providers
• Acts as a key liaison for the physicians and clinical staff as it relates to coding and compliance
• Interacts with physicians and other professional staff of documentation issues relating to coding data
• Acts as a mentor to Coder I and Coder 2 staff
• Provides system and workflow training to newly employed coders
• Prepares and presents education in conjunction with the Revenue Integrity Professional Coding Educator
• Primary contact for Revenue Cycle team throughout Shriners Hospitals for Children (SHC) system to assist with coding questions
• Act as back up for Revenue Integrity Professional Coding Lead

 

Qualifications

Experience:

• 7 years of coding experience in medical, surgical and physician professional specialties required
• Experience with Surgery Coding guidelines, E/M Coding Guidelines, CPT Coding, ICD-10, Modifiers, HCPCS and CCI edits required
• Pediatric, orthopeic and/or injury coding experience required
• Experience with education and presentations required
• Functional knowledge of Medical Terminology
• Functional knowledge of professional coding practice standards
• Functional knowledge of MS Office

 

Education:

• High School Diploma or GED required
• Current CCI (AHIMA), CCS-P (AHIMA) or CPC (AAPC) required

Employment Type: FULL_TIME