Senior Professional Coder

The Senior Professional Coder applies advanced professional coding expertise to support professional fee coding, charging, and denials follow-up workflows. This role serves as a coding team lead and subject matter expert, collaborates across departments to ensure timely and accurate coding processes, audits CPT and ICD-10 diagnosis coding for compliance, and provides education and training to providers and coding staff.

Key responsibilities include:

• Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges for compliance with federal, state, and payer guidelines
• Support daily coding team operations and help ensure productivity and quality standards are met
• Perform compliant coding and charge processing for professional fee services
• Assist with coding rule development, application testing, charge import processes, and system troubleshooting
• Help with staff scheduling, orientation, training, feedback, and performance evaluation
• Support department goals using LEAN management principles
• Participate in recruitment, interviews, policy updates, and documentation maintenance
• Conduct HCC and risk adjustment chart reviews and identify missed coding opportunities
• Perform billing integrity reviews and audits to identify documentation improvement opportunities
• Analyze audit findings, recommend corrective actions, and educate stakeholders
• Assist with denials management, external audits, and related workflow improvements