Senior Professional Coder (Anesthesia)
WFA Digital Insight
As the healthcare industry continues to evolve, the demand for skilled medical coders is on the rise, with a 25% increase in job postings over the past year. In this context, Shriners Children's is seeking a seasoned Senior Professional Coder to join their team, bringing 7+ years of experience in surgical and anesthesia coding. With a strong focus on compliance, accuracy, and education, this role offers a unique opportunity for a coder to work with a leading pediatric specialty care provider. Before applying, candidates should be aware of the importance of staying up-to-date with the latest coding guidelines and regulations, as well as the need for excellent communication skills to collaborate with clinical staff and physicians.
Job Description
About the Role
The Senior Professional Coder role at Shriners Children's is a critical position that requires advanced knowledge of medical coding classification systems, including ICD-10 and CPT4. As a key member of the team, you will be responsible for assigning and sequencing codes for diagnoses, treatments, and procedures, ensuring accuracy and compliance with federal and state regulations. This role offers the opportunity to work in a dynamic environment, collaborating with clinical staff, physicians, and other coders to drive excellence in patient care and revenue cycle management.Day-to-day, you will navigate the complexities of surgical and anesthesia documentation, applying precise coding guidelines and researching nuances to accurately assign complex codes. Your expertise will be essential in maintaining coding quality, identifying trends in documentation deficiencies, and providing coding insight and guidance to clinical staff and revenue cycle leadership.
Shriners Children's is a leading pediatric specialty care provider, committed to delivering excellence in patient care, education, and research. As a Senior Professional Coder, you will be part of a team that values compassion, integrity, accountability, and resilience, and is dedicated to making a difference in the lives of children and their families.
What You Will Do
- Assign and sequence all ICD-10, CPT4, and HCPCS 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
- Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations
- Identify trends in documentation deficiencies and communicate areas of improvement opportunities to leadership and/or providers
- Act as a key liaison for physicians and clinical staff as it relates to coding and compliance
- Interact with physicians and other professional staff on documentation issues relating to coding data
- Act as a mentor to Coder I and Coder II staff
- Provide system and workflow training to newly employed coders
- Prepare and present education in conjunction with the Revenue Integrity Professional Coding Educator
- Serve as primary contact for Revenue Cycle team throughout Shriners Hospitals for Children (SHC) system to assist with coding questions
What We Are Looking For
- 7+ years of professional fee (profee) surgical and anesthesia coding experience
- Advanced knowledge of ICD-10 and CPT4 classification systems
- Strong understanding of coding guidelines and legal requirements
- Excellent communication and interpersonal skills
- Ability to work in a fast-paced environment and prioritize multiple tasks
- Strong analytical and problem-solving skills
- Proficiency in Excel
- Certification in medical coding (CPC, CCS, or equivalent)
Nice to Have
- Experience with electronic health records (EHRs) and coding software
- Knowledge of revenue cycle management and compliance
- Experience in a pediatric specialty care setting
Benefits and Perks
- Medical coverage on the first day of employment
- 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service
- Paid time off, life insurance, short-term and long-term disability
- Flexible Spending Account (FSA) plans and Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected
- Tuition reimbursement, home and auto insurance, hospitalization, critical illness, and pet insurance
How to Stand Out
- Tip: Make sure to highlight your experience with ICD-10 and CPT4 classification systems in your resume and cover letter.
- Utilize online resources to stay up-to-date with the latest coding guidelines and regulations.
- Showcase your analytical and problem-solving skills by providing examples of complex coding scenarios you've encountered and how you resolved them.
- Be prepared to discuss your experience with revenue cycle management and compliance during the interview process.
- Consider obtaining certification in medical coding (CPC, CCS, or equivalent) to demonstrate your expertise and commitment to the field.
- Research Shriners Children's mission, values, and culture to demonstrate your passion for working in a pediatric specialty care setting.
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