A company is looking for a Senior Medical Coding Specialist with Workers' Compensation experience.
Key Responsibilities
Review and analyze complex inpatient, outpatient, and practitioner claims for medical appropriateness and billing accuracy
Apply national and international coding standards to ensure compliance and accuracy
Design and deliver coding education, training, and mentorship for new and existing team members
Required Qualifications
Minimum of 2+ years of Workers' Compensation coding experience required
Current coding certification (AHIMA or AAPC) or active medical license (RN, MD) required
7+ years of experience in a clinically related field (e.g., coding, auditing, nursing)
Extensive knowledge of inpatient and outpatient billing, including UB-04, CPT, HCPCS, ICD-10
Familiarity with international coding systems (e.g., ICD-10-AM, OPCS-4) preferred