Professional Coder II

Shriners Children's; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Professional Coder II to join their team. In this role, you will leverage your expertise in medical coding, utilizing ICD-10 and CPT 4 systems to ensure accurate coding for a variety of patient encounters. This position offers the chance to work independently while maintaining high coding standards and compliance with regulations. If you have a passion for pediatric specialty care and possess the necessary coding certifications, this opportunity is perfect for you to make a significant impact in the lives of children and their families.

Qualifications

• 4+ years of profee coding in medical specialties required.
• Advanced knowledge of medical terminology and coding standards.

Responsibilities

• Interpret health records to identify diagnoses and procedures.
• Assign and sequence ICD-10, CPT 4, and HCPC codes accurately.
• Maintain coding quality of 95% or higher while meeting productivity.

Skills

Medical Terminology

Anatomy & Physiology

ICD-10 Coding

CPT 4 Coding

HCPC Coding

Coding Compliance

Education

High School Diploma/GED

CCS Certification

CCS-P Certification

CPC Certification

Tools

3M System

Job description

Company Overview

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 Professional Coder II reporting into our Corporate Headquarters location.

The Professional Coder II performs at an advanced level medical coding position and serves as an expert utilizing International Statistical Classification of Diseases (ICD-10) and Current Procedural Terminology (CPT 4) classification system coding to all diagnoses and procedures on a variety of encounter types including but not limited to Profee Evaluation and Management (E/M) and Profee in-office simple surgery at stated minimum performance levels.

Responsibilities

• Interpret health record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology and medical terminology to identify diagnoses and procedures.
• 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 of documentation issues relating to coding data.
• Must be able to work independently with minimal supervision.

Qualifications

Required:

• 4 years of profee coding in medical, surgical and physician professional specialties required.
• Advanced knowledge of Medical Terminology and Anatomy & Physiology.
• Advanced knowledge of professional coding practice standards.
• Proficient with 3M system or other encoder programs.
• Proficient with CPT 4 coding assignment.
• Proficient with ICD-10 diagnosis code assignment.
• Proficient with HCPC and modifier codes.
• CCS (AHIMA), CCS-P (AHIMA) or CPC (AAPC) certification required.
• High School Diploma/GED.

Preferred:

• Pediatric, orthopedic and/or injury coding experience preferred.