Senior Professional Coder
TypeFull-time job
LocationUnited States
Posted1 hour ago
Company Overview
Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, 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 define us as leaders in pediatric specialty care for our children and their families.
With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.
CURRENT EMPLOYEES: Please log into Workday Click Here to apply internally through the "Jobs Hub"
Job Description
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
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
Required 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 is determined based on years of relevant experience and departmental equity.Originally posted on Himalayas
Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, 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 define us as leaders in pediatric specialty care for our children and their families.
With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.
CURRENT EMPLOYEES: Please log into Workday Click Here to apply internally through the "Jobs Hub"
Job Description
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
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
Required 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 is determined based on years of relevant experience and departmental equity.Originally posted on Himalayas
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