Professional Coder II

US-Remote

Remote: Yes

Position Type: Regular Full-Time

Company Overview

Shriners Children’s is a family 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 defines us as leaders in pediatric specialty care for our children and their families.

Job Overview

The Professional Coder II performs at an advanced level medical coding position and serves as an expert utilizing International Statistical Classification of Diseases (ICD-10) and Current Procedural Terminology (CPT 4) classification system coding to all diagnoses and procedures on a variety of encounter types including but not limited to Evaluation and Management (E/M) and surgery at stated minimum performance levels.

Responsibilities

Interpret health record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology and medical terminology to identify diagnoses and procedures
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
Follow 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
Act as a key liaison for the physicians and clinical staff as it relates to coding and compliance
Interact with physicians and other professional staff of documentation issues relating to coding data
Must be able to work independently with minimal supervision

Qualifications

Minimum:

4 yrs of profee coding in medical, surgical and physician professional specialties
Advanced knowledge of Medical Terminology and Anatomy & Physiology
Advanced knowledge of professional coding practice standards
Experience with 3M system or other encoder programs
Experience with CPT 4 coding assignment and ICD-10 diagnosis code assignment
Experience with HCPC and modifier codes
Current CCS (AHIMA), CCS-P (AHIMA) or CPC (AAPC) certification
High School Diploma/GED

Preferred:

Pediatric, orthopedic and/or injury coding experience

Shriners Hospitals for Children jobs

Professional Coder II