Title: Senior Professional Coder (Profee Surgery) Location: Remote, United States Department: Revenue Cycle ID 2026-8926 Position Type Regular Full-Time Job Description: Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, 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 define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview Do you have at least 7 years of experience doing complex profee surgical coding? Do you thrive on the challenge of diving into and researching proper codes to assign to a complex surgical procedure? Then this position may be for you! 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: - 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 - Follows 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 - Acts as a key liaison for the physicians and clinical staff as it relates to coding and compliance - Interacts with physicians and other professional staff of documentation issues relating to coding data - Acts as a mentor to Coder I and Coder 2 staff - Provides system and workflow training to newly employed coders - Prepares and presents education in conjunction with the Revenue Integrity Professional Coding Educator - Primary contact for Revenue Cycle team throughout Shriners Hospitals for Children (SHC) system to assist with coding questions - Act as back up for Revenue Integrity Professional Coding Lead 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. Qualifications Minimum: - 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 - High School Diploma or GED - Current CCS-P (AHIMA) or CPC (AAPC)

• Code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services • Ensure adherence to Hospital and Departmental Policies and Procedures • Review patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG • Access several systems via the computer to research the medical record when needed • Take responsibility for accounts receivable by looking for lost documents • Maintain and disseminate up-to-date technical knowledge of legal and regulatory information • Responsible for resolving any and all pre-bill edits, denials, etc. • Participate in all departmental in-services and updates

• Conduct Coding Audits • Perform detailed reviews of medical record documentation and coding to ensure accuracy, completeness, and compliance with ICD-10-CM, CPT, HCPCS, and payer guidelines. • Identify and Mitigate Risks • Analyze audit findings to identify compliance trends, risks, and opportunities for improvement. • Recommend and support corrective action plans. • Provide Education and Training • Develop and deliver educational sessions and one-on-one guidance for physicians and staff regarding coding best practices and compliance standards. • Stay Up to Date on Regulations • Maintain current knowledge of CMS guidelines, federal and state regulations, and industry coding standards. • Research and interpret new coding and billing policies. • Respond to Inquiries • Serve as a resource for coding, billing, and documentation compliance questions across departments. • Prepare Reports • Document audit findings and prepare clear, concise reports for leadership outlining risks and recommendations. • Investigate Compliance Issues • Conduct investigations into potential non-compliant activities or billing discrepancies and assist in identifying root causes and solutions. • Collaborate Across Departments • Partner closely with billing, revenue cycle management, providers, and operational teams to support compliant and efficient workflows.

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding. • Perform quality assessment of records, including verification of medical record documentation (both electronic and handwritten). • Perform quality assessments of coders completed work to validate standards are met. • Educate coders and other staff on appropriate coding guidelines. • Responsible for researching errors or missing documentation from medical records in order to provide accurate coding processes. • Abstract and assign the appropriate ICD-10, HCPCS/CPT codes; including Level I & Level II modifiers as appropriate for all diagnosis and procedures performed in outpatient and inpatient settings. • Assist in the development and ongoing maintenance of processes and procedures for each assigned client revolving around system use, billing/coding rules, and client specific guidelines. • Manage time effectively to meet all required deadlines and timeframes for client and department needs. • Collaborate in a team environment with the Department Manager and other staff on a regular basis. • Ensure compliance with all relevant regulations, standards, and laws.