Senior Professional Coder (Anesthesia)

Company OverviewShriners 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 OverviewAre you a seasoned professional fee (profee) surgical and/or anesthesia coder with 7 or more years of experience? Do you excel at navigating the complexities of surgical and anesthesia documentation, applying precise coding guidelines, and researching the nuances required to accurately assign complex CPT®, ICD‑10‑CM, and HCPCS codes?If you thrive on investigative work, enjoy deep‑dive code validation, and take pride in delivering accurate, high‑quality coding that supports both compliance and optimal reimbursement— then this role may be the perfect fit 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.ResponsibilitiesResponsibilities:Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and completelyReconcile correct coding edits and discrepancies prior to final codingMaintain coding quality of 95% or higher while meeting established productivity requirements based on encounter typeFollows coding guidelines and legal requirements to ensure compliance with federal and state regulationsIdentify trends in documentation deficiencies and communicates areas of improvement opportunities to leadership and/or providersActs as a key liaison for the physicians and clinical staff as it relates to coding and complianceInteracts with physicians and other professional staff of documentation issues relating to coding dataActs as a mentor to Coder I and Coder 2 staffProvides system and workflow training to newly employed codersPrepares and presents education in conjunction with the Revenue Integrity Professional Coding EducatorPrimary contact for Revenue Cycle team throughout Shriners Hospitals for Children (SHC) system to assist with coding questionsAct as back up for Revenue Integrity Professional Coding LeadThis 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.QualificationsMinimum:7 years of professional fee (profee) surgical and anesthesia coding experience Experience with Surgery Coding guidelines, E/M Coding Guidelines, CPT Coding, ICD-10, Modifiers, HCPCS and CCI editsPediatric, orthopedic and/or injury coding experienceExperience with education and presentationsFunctional knowledge of Medical TerminologyFunctional knowledge of professional coding practice standardsFunctional knowledge of MS OfficeHigh School Diploma or GEDCurrent CCS-P (AHIMA) or CPC (AAPC)Originally posted on Himalayas

Company OverviewShriners 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 OverviewAre you a seasoned professional fee (profee) surgical and/or anesthesia coder with 7 or more years of experience? Do you excel at navigating the complexities of surgical and anesthesia documentation, applying precise coding guidelines, and researching the nuances required to accurately assign complex CPT®, ICD‑10‑CM, and HCPCS codes?If you thrive on investigative work, enjoy deep‑dive code validation, and take pride in delivering accurate, high‑quality coding that supports both compliance and optimal reimbursement— then this role may be the perfect fit 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.ResponsibilitiesResponsibilities:Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and completelyReconcile correct coding edits and discrepancies prior to final codingMaintain coding quality of 95% or higher while meeting established productivity requirements based on encounter typeFollows coding guidelines and legal requirements to ensure compliance with federal and state regulationsIdentify trends in documentation deficiencies and communicates areas of improvement opportunities to leadership and/or providersActs as a key liaison for the physicians and clinical staff as it relates to coding and complianceInteracts with physicians and other professional staff of documentation issues relating to coding dataActs as a mentor to Coder I and Coder 2 staffProvides system and workflow training to newly employed codersPrepares and presents education in conjunction with the Revenue Integrity Professional Coding EducatorPrimary contact for Revenue Cycle team throughout Shriners Hospitals for Children (SHC) system to assist with coding questionsAct as back up for Revenue Integrity Professional Coding LeadThis 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.QualificationsMinimum:7 years of professional fee (profee) surgical and anesthesia coding experience Experience with Surgery Coding guidelines, E/M Coding Guidelines, CPT Coding, ICD-10, Modifiers, HCPCS and CCI editsPediatric, orthopedic and/or injury coding experienceExperience with education and presentationsFunctional knowledge of Medical TerminologyFunctional knowledge of professional coding practice standardsFunctional knowledge of MS OfficeHigh School Diploma or GEDCurrent CCS-P (AHIMA) or CPC (AAPC)Originally posted on Himalayas