Senior Professional Fee Coder-Hybrid

Mayo Clinic • Rochester, MN

4d • $31 - $42 • Hybrid

About The Position

The Senior Professional Fee Coder supports department operations and coordinates with team members, including physicians and hospital administration, to ensure professional coding processes are completed comprehensively and on time. The role reviews and interprets medical record documentation, including diagnostic information across medical and surgical subspecialties, and assigns appropriate professional fee codes. More than half of the assigned time is devoted to production coding of complex accounts. Remaining time focuses on departmental education and training of Professional Fee Coders, coding quality as needed, and other duties supporting Professional Fee Coding. The position mentors, instructs, and trains other coders in compliant coding standards.

This is a hybrid position. The employee must be located within 100 miles of a Mayo Clinic campus to meet on-site expectations based on business needs.

Requirements

• High school diploma and 7 years of professional coding experience, with demonstrated knowledge of complex service lines; or an associate degree and 5 years of professional coding experience.
• Required credential: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS-P), or Certified Professional Coder (CPC).
• Knowledge and experience with medical and/or surgical professional/physician coding guidelines and professional claim rules for hospital outpatient, hospital inpatient, clinic, and/or emergency department encounters.
• Coding skills in ICD-10-CM diagnosis assignment, CPT procedure assignment, and modifier assignment.
• Experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), CPT Assistant coding guidelines, modifier guidelines, and official ICD-10 coding and reporting guidelines.
• In-depth knowledge of medical terminology, anatomy and physiology, disease processes, pathophysiology, and pharmacology.
• Knowledge and experience with compliant healthcare billing principles, methods, and techniques.
• Knowledge and experience with coding and billing requirements for services furnished in teaching settings and for provider-based facilities and critical access hospitals.
• Ability to work independently in a teleworking environment, organize and prioritize work, communicate effectively, pay attention to detail, follow through, and maintain a positive attitude.

Nice To Haves

• Bachelor’s degree in a health care-related field.
• Pathology CPT coding experience.
• Healthcare Financial Management Association (HFMA) certification.

Responsibilities

• Collaborate with others to support department operations and ensure comprehensive, timely completion of professional coding processes.
• Review and interpret medical record documentation, including diagnostic information for medical and surgical subspecialties.
• Assign appropriate professional fee codes, with more than half of assigned time focused on production coding of complex accounts.
• Mentor, instruct, and train Professional Fee Coders in compliant coding standards.
• Support departmental education and training, coding quality as needed, and other Professional Fee Coding duties.

Benefits

• Multiple medical plan options.
• Dental coverage through Delta Dental or a reimbursement account for flexible coverage.
• Affordable vision plan with a national network.
• Health Savings Account (HSA) and Flexible Spending Accounts (FSAs) for eligible expenses.
• Competitive retirement package.
• Continuing education and advancement opportunities.
• Competitive compensation and comprehensive benefit plans.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED