Professional Coding Lead
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.
Shriners Children’s is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center. We have an opportunity for a Professional Coding Lead reporting into our Corporate Headquarters.
The Professional Coding Lead performs at an advanced level medical professional 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, treatments and procedures in all types of Hospital, Clinic and Ambulatory Surgical Center (ASC) locations at stated minimum performance levels. The Revenue Integrity Professional Coder Team Lead supervises daily operations specific to professional coding and coder productivity. Develop staff coverage strategies to maintain consistent productivity flow and assists to cover staff PTO/position vacancies. Reviews employee timesheets and validates with timecards in the payroll system biweekly. Monitors the Professional Hold Report weekly to ensure coding is completed timely and to request information from responsible departments as well as develop strategies to minimize un-coded accounts greater than the bill hold period. Supports Professional Coding Team by discussing complex coding cases, answering questions, providing education and interfacing with Leadership. Runs daily and weekly status reports and distributes to appropriate parties. Completes edits in Bill scrubber and CBO and identifies payer specific guidelines and process improvement opportunities. Communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and resolution. The Revenue Integrity Professional Coder Team Lead will also provide training for all new professional coders and monitors staff progress.