Senior Medical Coding Specialist (WA Licensed)

Job Summary

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