Senior Professional Coder

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. Responsibilities include assigning and sequencing all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and completely, reconciling correct coding edits and discrepancies prior to final coding, and maintaining coding quality of 95% or higher while meeting established productivity requirements based on encounter type. The coder also follows coding guidelines and legal requirements to ensure compliance with federal and state regulations, identifies trends in documentation deficiencies, acts as a key liaison for the physicians and clinical staff as it relates to coding and compliance, and acts as a mentor to Coder I and Coder 2 staff. Minimum qualifications include 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, a High School Diploma or GED, and a current CCS-P (AHIMA) or CPC (AAPC).