About the Role
Shriners Children’s is seeking a Senior Professional Coder to perform complex medical coding using ICD-10 and CPT4 classification systems. This role serves as an expert, providing coding insight and guidance to clinical staff, CDI, and Revenue Cycle leadership.
Responsibilities
- Assign and sequence all ICD-10, CPT 4, 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 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 regarding 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 the primary contact for the Revenue Cycle team throughout the Shriners Hospitals for Children (SHC) system to assist with coding questions.
- Act as backup for the Revenue Integrity Professional Coding Lead.
Requirements
- 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).
Skills
- ICD-10
- CPT4
- HCPCS
- Modifiers
- CCI edits
- Surgery Coding guidelines
- E/M Coding Guidelines
- CPT Coding
- Medical Terminology
- Professional coding practice standards
- MS Office
- Education
- Presentations
Experience Level
- Senior
- 7 years of coding experience
Education Level
- High School Diploma or GED
- CCS-P (AHIMA) or CPC (AAPC)
Salary/Compensations
- $29.23 - $43.85
About the Company
- Shriners Children’s is an organization that respects, supports, and values each other.
- Named as the 2025 best mid-sized employer by Forbes.
- Engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact.
- Fosters a learning environment that values evidenced based practice, experience, innovation, and critical thinking.
- 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.
