Pediatric Senior Medical Coder & Coding Lead

150 Shriners Hospitals for Children; United States; On-site; USD 90,000 - 115,000; Full time

Job summary

Shriners Children's is seeking a Senior Professional Coder to perform advanced medical coding across Hospital, Clinic and ASC settings using ICD-10 and CPT-4 classifications. You will annotate and sequence diagnoses, optimally apply HCPCS modifiers, and support clinical staff with coding queries.

With 7 years of coding experience and pediatric/orthopedic exposure, you will mentor junior coders, provide education, and partner with Revenue Cycle leadership to drive accurate reimbursement and

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)

Responsibilities

• Assign and sequence all ICD-10; CPT 4; HCPC and modifiers 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 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

Skills

ICD-10 coding

CPT4 coding

HCPCS & CCI edits

Education & presentations

MS Office

Medical Terminology

Education

High School Diploma or GED

CCS-P (AHIMA) or CPC (AAPC)

Tools

MS Office

Job description

Shriners Children's is seeking a Senior Professional Coder to perform advanced medical coding across Hospital, Clinic and ASC settings using ICD-10 and CPT-4 classifications. You will annotate and sequence diagnoses, optimally apply HCPCS modifiers, and support clinical staff with coding queries.

With 7 years of coding experience and pediatric/orthopedic exposure, you will mentor junior coders, provide education, and partner with Revenue Cycle leadership to drive accurate reimbursement and