高级专业编码员
Sr Professional Coder
公司简介
Shriners Children’s 是一个尊重、支持并重视每个人的组织。被《福布斯》评为 2025 年最佳中型企业雇主，我们致力于提供卓越的患者护理，拥抱具有全球影响力的多学科教育和研究。我们营造了一个重视循证实践、经验、创新和批判性思维的学习环境。我们的同理心、诚信、责任感和韧性定义了我们在儿童专科护理领域的领导地位。
我们在全球拥有 20 多家医院、门诊诊所、日间护理中心和外展地点，为 18 岁以下的儿童提供优质的医疗服务，无论其家庭支付能力或保险状况如何。请点击此处了解我们的更多地点信息。
现任员工：请登录 Workday 点击此处通过“职位中心”内部申请
职位描述
您是否拥有至少 7 年的复杂专业手术编码经验？
您是否喜欢挑战，能够深入研究并为复杂的手术程序分配正确的代码？
如果是这样，这个职位可能适合您！
高级专业编码员担任高级医疗编码职位，并作为专家，利用 ICD-10 和 CPT4 分类系统对所有医院、诊所和日间手术中心（ASC）地点的所有诊断、治疗和程序进行编码，达到规定的最低绩效水平。此外，高级专业编码员还为临床人员、临床文档改进（CDI）、初级专业编码员和二级专业编码员以及收入周期管理层提供编码见解和指导。
主要职责：
- 准确完整地分配和排序所有 ICD-10；CPT 4；医疗通用程序编码（HCPC）和修饰符代码
- 在最终编码前解决正确的编码编辑和差异
- 保持 95% 或更高的编码质量，同时满足根据就诊类型设定的生产率要求
- 遵守编码指南和法律法规，确保符合联邦和州法规
- 识别文档不足的趋势，并向管理层和/或医务人员传达改进机会
- 作为与编码和合规相关的医生和临床人员的关键联络人
- 与医生和其他专业人员互动
查看英文原文
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
Do you have at least 7 years of experience doing complex profee surgical coding?
Do you thrive on the challenge of diving into and researching proper codes to assign to a complex surgical procedure?
Then this position may be for you!
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
- 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)
Compensation is determined based on years of relevant experience and departmental equity.Originally posted on Himalayas