Medical Coding Specialist

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Reviews and completes the medical coding and pricing of the Allocation Worksheets and Calculation spreadsheets prepared by the Analysts.

Supports the preparation and review of the Allocation worksheet. Prices DME, facility & medical procedures and surgeries and prescription medications. Analyzes and interprets Allocation worksheet to ensure accurate coding of diagnoses, procedures and services. Applies appropriate ICD-10-CM, CPT, and fee schedules based on coding guidelines. Enters the appropriate medical procedure code, NDC prescription drug code and price in the Case Management System. Strictly adheres to company confidentiality policies and procedures, safeguarding sensitive information at all times.

Required Qualifications:

• Minimum 2 years experience with CPT, ICD-10, HCPCS coding, and working knowledge of NDC codes
• Workers’ Compensation or Liability experience working with multiple jurisdictions
• Working knowledge of the Medicare system, remittance and reimbursement policies
• Strong knowledge of anatomy/physiology
• Strong mathematics and Excel skills

Preferred Qualifications:

• Experience coding and billing Orthopedic and Pain Management procedures and surgeries

Preferred Certificates or Licenses:

• Certified Professional Coder and/or Certified Professional Biller