Sr Professional Coder

DaMar Staffing; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

Shriners Children's is seeking a Senior Professional Coder to perform advanced ICD-10 and CPT4 coding for inpatient, outpatient, and ambulatory surgery across SHC locations. You will serve as a coding expert, guiding staff and clinical teams while ensuring accuracy and regulatory compliance.

The role requires 7+ years in complex surgical coding, pediatric/orthopedic experience, and current CCS-P or CPC certification.

Qualifications

• 7 years of coding experience in inpatient/outpatient professional surgery.
• Experience with CPT coding, ICD-10, E/M guidelines, HCPCS and CCI edits.
• Pediatric, orthopedic and/or injury coding experience.
• Current CCS-P (AHIMA) or CPC (AAPC) certification.

Responsibilities

• Assign and sequence ICD-10, CPT-4, HCPCS and modifiers accurately.
• Ensure coding quality ≥95% while meeting productivity targets.
• Advise leadership and providers on coding improvements and trends.
• Mentor junior coders and provide training on coding systems.

Skills

Surgery coding

ICD-10

CPT coding

CCI edits

Education

CCS-P or CPC certification

Tools

MS Office

Job description

Senior Professional Coder

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.

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
• 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 standardsFunctional 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.