The Medical Coder Senior provides the highest expert coding support within the Health Information Management (HIM) department. This role is responsible for accurately assigning ICD-10-CM diagnosis codes, ICD-10 PCS procedure codes, and CPT procedure codes utilizing encoding software and online reference tools. All coding is performed in strict accordance with American Medical Association (AMA) and Centers for Medicare & Medicaid Services (CMS) guidelines and regulations to ensure compliance and optimal reimbursement. No direct patient care.
Essential Functions:
Scope and Level:
Guidelines: Guidelines are generally but not always clearly applicable, requiring the employee to exercise judgment in selecting the most pertinent guideline, interpret precedents, adapt standard practices to differing situations, and recommend alternative actions in situations without precedent.
Complexity: Duties assigned are generally complex and may be of substantial intricacy. Work assignment is performed within an established framework under general instructions but requires simultaneous coordination of assigned functions or projects in various stages of completion.
Decision Making: Exercises judgment and discretion, and is responsible for determining the time, place and sequence of the work performed.
Communications: Contacts with the public or employees where explanatory or interpretive information is exchanged, defended, and gathered and discretion and judgment are required within the parameters of the job function.
Supervision Received: Performs work with minimal supervisory oversight. Under general supervision, the employee receives assignments and is expected to carry them through to completion with substantial independence. Work is reviewed for adherence to instructions, accuracy, completeness, and conformance to standard practice or precedent. Recurring work clearly covered by guidelines may or may not be reviewed.
Minimum Qualifications:
Education: High School Diploma or equivalent GED.
Experience: Five (5) years of medical hospital or provider-based coding and charging experience.
Certification(s): One (1) of the following is required:
Licensure(s): None.
Schedule/Shift: 40hrs FT M-F 8-430p Remote
Salary Information: Pay is dependent on applicant's relevant experience. Hourly Range: $25.70 to $38.55
Benefits Information: Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career. As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April. Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year.
EEO Statement: It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information.