Sr Professional Coder

Shriners Children's; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

Shriners Children’s is seeking a seasoned Senior Professional Coder to provide expert ICD-10 and CPT coding for inpatient, outpatient, hospital, clinic, and ASC settings. You will guide documentation improvements, mentor junior coders, and ensure compliance with coding standards.

Ideal candidates will have 7+ years in pediatric/professional surgery coding, strong education/presentation skills, and current CCS-P or CPC credentials. Join SHC to support our leading pediatric care initiatives.

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.
• Current CCS-P (AHIMA) or CPC (AAPC).

Responsibilities

• Assign and sequence ICD-10; CPT4; HCPCS 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 productivity requirements.
• Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations.
• Identify trends in documentation deficiencies and communicate improvements to leadership and/or providers.
• Act as a liaison for physicians and clinical staff regarding coding and compliance.
• Mentor Coder I and II staff.
• Provide system and workflow training to new coders.
• Prepare and present education with the Revenue Integrity Professional Coding Educator.
• Serve as primary contact for Revenue Cycle team across SHC for coding questions.
• Act as back up for Revenue Integrity Professional Coding Lead.

Skills

ICD-10 coding

CPT coding

HCPCS

Coding guidelines

Education

High School Diploma or GED

CCS-P or CPC

Tools

MS Office

Job description

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.

Job Description

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 2 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.