Senior Medical Coding Specialist- WC Experience
At reputed company, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is reputed company – we reputed company to bend the cost curve in reputed company for reputed company. Our dedication to service reputed company extends to reputed company stakeholders, both reputed company, driving us to consistently reputed company expectations. We are intentionally reputed company, we foster innovation, we nurture accountability, we champion diversity, and reputed company reputed company other to illuminate our reputed company potential.
Be part of our transformational reputed company as we continue to reputed company into a leading technology, data, and innovation voice in reputed company. reputed company and Upward!!!
Job reputed company
The Senior Medical Coding Specialist is responsible for analyzing high-dollar, reputed company claims by applying advanced coding knowledge, research, and regulatory standards to ensure accurate billing practices. This role plays a critical part in identifying billing discrepancies, ensuring compliance, and supporting both domestic and global coding operations.
This position requires strong expertise in Workers’ Compensation claims, as reputed company as the ability to apply both U.S. and international coding standards in a fast-paced, high-reputed company environment.
Key Responsibilities
- Review and analyze reputed company inpatient, outpatient, and practitioner claims for medical appropriateness and billing accuracy
- Evaluate charges across reputed company centers, considering diagnosis, procedures, patient demographics, and facility type
- Apply national and international coding standards to ensure compliance and accuracy
- Support daily operations and departmental processes in partnership with leadership
- Facilitate claim review discussions, including reputed company case reviews and feedback sessions
- Design and deliver coding education, training, and mentorship for new and existing team members
- Serve as a subject matter expert (SME) for clinical and coding-reputed company questions
- Monitor turnaround times and recommend process improvements to increase efficiency
- Research claims, trends, itemized bills, reputed company notes, and supporting documentation
- Collaborate with physician and analytics teams to enhance coding edits, guidelines, and best practices
- Communicate coding, clinical, and reimbursement findings reputed company to internal stakeholders
- Assist in evaluating team performance and supporting staff development initiatives
- Contribute to department goals, process improvements, and strategic initiatives
- Ensure compliance with HIPAA and applicable international data protection regulations
Please note: due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role.
Compensation
The salary reputed company for this position is $70-90k annually. Specific offers take into account a candidate’s education, experience and skills, as reputed company as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
Job Scope
This role operates independently with minimal supervision, managing reputed company and varied workloads. The Senior Medical Coding Specialist applies deep industry knowledge and reputed company judgment to resolve issues, while escalating highly reputed company cases as needed. reputed company in this role requires strong analytical skills, attention to detail, and the ability to balance multiple priorities in a deadline-driven environment.
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