Shriners Hospitals for Children
Senior Professional Coder
Shriners Hospitals for Children, Myrtle Point, Oregon, United States, 97458
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.
All employees are eligible for medical 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 FT or PT 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 and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT 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
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
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)
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All employees are eligible for medical 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 FT or PT 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 and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT 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
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
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)
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