Shriners Children'sSC

Senior Professional Coder

Shriners Children's is a network of non-profit children's hospitals and various pediatric medical facilities dedicated to transformative care for children with specific needs.

Shriners Children's

Employee count: 1001-5000

United States only

Company Overview

Shriners Children’s is an organization 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 define us as leaders in pediatric specialty care for our children and their families.

All employees are eligible for medical, dental and vision coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a full-time or part-time status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans. Additional benefits available to full-time and part-time employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law.

Job Overview

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.

Responsibilities

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

This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.

Qualifications

Minimum:

  • 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)

About the job

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Posted on

Job type

Full Time

Experience level

Senior

Location requirements

Hiring timezones

United States +/- 0 hours

About Shriners Children's

Learn more about Shriners Children's and their company culture.

View company profile

Shriners Children's is a network of non-profit children's hospitals and various pediatric medical facilities dedicated to transformative care for children with specific needs. Since its inception in 1922, the organization has focused on providing orthopedic care, burn treatment, spinal cord injury care, and treatment for cleft lip and palate to children across North America without charging families for services rendered. It operates numerous facilities in the United States, Canada, and Mexico, emphasizing family-centered care that caters to the unique challenges faced by pediatric patients.

The hospitals leverage state-of-the-art research, innovative treatment methods, and a compassionate team of healthcare professionals to enhance the quality of life for children. Shriners operates under the guiding principle of ensuring accessibility to high-quality medical care, regardless of the family’s financial situation. This commitment is evident in their motto, 'Love to the Rescue,' which reflects their mission to provide hope and healing to children and their families. With robust community involvement and ongoing education for medical professionals, Shriners Children's continues to set a high bar in pediatric healthcare while expanding its outreach and enhancing patient care continuously.

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Shriners Children's

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Shriners Children's hiring Senior Professional Coder • Remote (Work from Home) | Himalayas