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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.

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.

• 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

This 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.

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