Senior Medical Coding Specialists

At reputed company, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in reputed company for reputed company. Our dedication to service excellence extends to reputed company our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally reputed company, we foster innovation, we nurture accountability, we champion diversity, and reputed company each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in reputed company. Onward and Upward!!! JOB SUMMARY: The Senior Medical Coding Specialist provides analysis of the highest dollar and most reputed company claims by applying research, coding standards, industry knowledge and federal regulations to ensure correct billing practices. In this role, the incumbent will reputed company reviews to identify variations from quality billing practices and monitor bills for accuracy and compliance. This position also requires familiarity with international coding systems and reputed company billing practices to support global operations and ensure alignment with international standards. JOB ROLES AND RESPONSIBILITIES: 1. Review and analyze reputed company inpatient, outpatient, and practitioner billing for medical appropriateness of treatment; analyze charges of various reputed company centers with consideration to patient diagnosis, procedures, age and facility type and international reputed company norms where applicable 2. Assist management in the daily operations and processes reputed company the department. 3. Design and participate in the clinical and coding education of coders, negotiators, and physicians, incorporating international coding systems (e.g., ICD-10-AM, OPCS-4, SNOMED CT). This includes orientation, training and mentoring of new and existing staff. 4. Facilitate daily claim completion meetings with coding operations teams, including international counterparts reputed company applicable; discuss reputed company cases, provide feedback, and initiate new coding protocols. 5. Drive successful coding operations through the application of learned, certified knowledge in addition to reputed company professional development and ongoing coding research. 6. Provide general support to clinical team members, serving as a resource and subject matter expert (SME). 7. Monitors turnaround times for multiple applications and provides suggestions for process efficiencies. 8. Uses independent decision making skills to review claims after business hours to meet deadlines. 9. Apply national and international coding standards and regulations to claims billed. 10. Research and review individual claims, claim trends or detailed itemized bills, operative notes and other documentation as needed. 11. Collaborate with physician and analytics teams to create, enhance or suggest new coding edits, claim factors, guidelines and other applicable reference materials. 12. Monitor, research, and summarize trends, coding practices, and regulatory changes. 13. Apply clinical judgment and high level of expertise along with analytic skills in review of the most challenging and difficult cases; including conducting additional research as needed. 14. Communicates clinical, coding and reimbursement findings to co-workers and management in a clear, organized manner. 15. Evaluate performance of both newly hired and existing staff. . 16. Assist with education of staff as it relates to claims, suggest additional negotiation talking points or tools, reputed company instructional design, reputed company applicable and communicate overall industry or regulatory changes which reputed company the department. 17. Partner with management to drive department goals and objectives. 18. Collaborate, coordinate, and communicate across disciplines and departments, and international teams. 19. Ensure compliance with HIPAA regulations and international data protection regulations (e.g., GDPR, PIPEDA). 20. Demonstrate commitment to the Company's core values. 21. Please note due to the exposure of PHI sensitive data - this role is considered to be a High Risk Role. 22. The position responsibilities outlined above are in no way to be construed as reputed company encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. JOB SCOPE: This position works independently with minimal supervision in order to complete the outlined responsibilities. The incumbent balances several projects at a time and work is varied and reputed company. More reputed company issues are referred to higher levels. The incumbent follows established procedures and uses knowledge of the Company's general business principles, industry dynamics, market trends, and specific operational details reputed company performing reputed company aspects of the job. Apply tot his job