Senior Professional Fee Coder-Hybrid

Mayo Clinic • Rochester, MN

3d • Hybrid

About The Position

This hybrid position must be located within 100 miles of a Mayo Clinic campus to meet on-site expectations based on business needs. The Senior Professional Fee Coder works collaboratively to support department operations and periodically interacts with physicians and hospital administration. The role coordinates with others to ensure comprehensive, timely completion of professional coding processes and mentors, instructs, and/or trains other Professional Fee Coders in compliant coding standards.

The coder 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 for complex accounts. The remaining time focuses on departmental education and training, coding quality as needed, and other duties supporting Professional Fee Coding. This position is not eligible for visa sponsorship or transfer. The selection process may include an OnDemand prerecorded interview.

Requirements

• High school diploma and 7 years of professional coding experience with demonstrated knowledge of complex service lines, or an associate’s degree and 5 years of professional coding experience.
• A credential as a 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 or physician coding guidelines and professional claim rules for hospital outpatient, hospital inpatient, clinic, and/or emergency department encounters.
• Appropriate coding skills, including 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.
• Knowledge and experience with coding and billing requirements 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

• 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 for complex accounts.
• Coordinate with others to ensure comprehensive and timely completion of professional coding processes.
• Mentor, instruct, and/or train Professional Fee Coders in compliant coding standards.
• Support departmental education and training, coding quality as needed, and other Professional Fee Coding duties.
• Collaborate with department team members and periodically interact with physicians and hospital administration.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree