Senior Coder - Professional Coding
About Our Client:
The organization operates within the healthcare sector, focusing on professional medical coding to support accurate clinical documentation and billing processes. It addresses challenges related to coding accuracy, compliance with clinical coding guidelines, and efficient revenue cycle management through expert coding practices and collaborative workflows.
About the Opportunity:
The SENIOR CODER - PROFESSIONAL CODING is responsible for ensuring high-quality professional coding accuracy and compliance. This role functions as a subject matter expert, educator, and quality assurance reviewer, providing leadership and mentorship within the coding team. The position contributes to improving pre-accounts receivable management and streamlining coding processes, directly influencing revenue integrity and operational efficiency.
Responsibilities:
Collaborate with coding leadership to manage daily professional coding accounts receivable activities.
Serve as a subject matter expert in professional coding and workflows for staff and partner departments.
Conduct regular quality assurance reviews to identify coding errors and trends and communicate findings.
Work with education teams to address coding issues through training.
Code across multiple professional specialties while maintaining a minimum 95% coding quality score.
Perform production coding to reduce outstanding accounts receivable.
Engage in continuous career development and share knowledge with team members.
Prioritize coding workload to focus on cases impacting departmental goals.
Mentor team members on workload prioritization and coding quality.
Support staff leadership in the absence of supervisors and cover vendor coordination as needed.
Complete additional duties or special projects as assigned.
Demonstrate professional standards and encourage the same in others.
Requirements:
- Bachelor’s degree preferred in a health-related field; coursework in anatomy, physiology, medical terminology, pathophysiology, and disease processes strongly preferred.
- Minimum five years of progressive professional coding experience.
- Proficiency in multiple professional specialties as defined by the department.
- Experience with Epic electronic health records system.
- Preferred experience in audit education or coding lead roles.
- CPC or CCS-P credential required; CCC and/or CIRCC preferred; additional relevant coding certifications and AAPC facilitator or educator qualifications preferred.
- Extensive knowledge of professional coding guidelines, workflows, claim edit resolution, and revenue cycle basics.
- Advanced Excel skills for tracking, trending, reporting, and creating educational materials.
- Pay Range and Compensation Package:
- The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors.
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.