Shriners Children's
Senior Professional Coder
About this role
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. CURRENT EMPLOYEES: Please log into Workday Click Here to apply internally through the "Jobs Hub" Job Description 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