Senior Professional Fee Coder-Hybrid

HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. 
 

The Senior Professional Fee Coder is responsible for working collaboratively to support department operations as well as periodically interacts with various team members such as physicians and other hospital administration. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. This position will mentor, instruct and/or train other Professional Fee Coders in compliant coding standards. The Senior Professional Fee Coder reviews and interprets medical record documentation to include, but not limited to, medical diagnostic information for various medical and surgical subspecialties and assigns the appropriate professional fee codes. Over half of the Senior Professional Fee Coder assigned time will be focused on production coding of complex accounts assigning the appropriate coding as outlined below. The remainder of time will be focused on departmental education and training of Professional Fee Coders, coding quality as needed, and other duties required to support Professional Fee Coding.

Qualifications

High School diploma and 7 years professional coding experience and demonstrated knowledge of complex service lines 

OR 

Associate’s Degree and 5 years professional coding experience required; 

Bachelor’s Degree in a health care related field preferred.  

Preferred experience: Pathology CPT Coding.

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS-P), or Certified Professional Coder (CPC) required. 

Healthcare Financial Management Association (HFMA) Certification Preferred.

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 encounter along with appropriate coding skills: 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), Current Procedural Terminology (CPT) Assistant coding guidelines, modifier guidelines and official ICD-10 guidelines for coding and reporting -In-depth knowledge of medical terminology, anatomy and physiology, simple to complex disease processes, pathophysiology, and pharmacology  -Knowledge and experience with principles, methods, and techniques related to compliant healthcare billing. -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 (PBB) facilities and critical access hospital (CAH). -Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, is attentive to detail, demonstrate follow through skills and maintain a positive attitude. 
 

**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.  
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.