Senior Medical Coding Specialist- WC Experience

remote next; India; On-site; INR 600,000 - 1,200,000; Full time

Benefits offered by this job

Medical & dental coverage

Life insurance

Disability insurance

Parental Leave

Retirement plan (401k) with match

ESPP

Generous time off

Tuition reimbursement

Flexible Spending Account

Employee Assistance Program

Job summary

remote next is seeking a Senior Medical Coding Specialist to analyze high-dollar claims and apply advanced coding knowledge to ensure accurate billing. This role supports domestic and global coding operations and emphasizes compliance with regulatory standards.

The candidate will review inpatient, outpatient, and practitioner claims, apply US and international coding standards, and contribute to daily operations and training across teams.

Qualifications

• Minimum 2+ years of Workers Compensation coding experience.
• Certification in medical coding or medical license required (RN/MD).
• Experience with inpatient and outpatient billing, UB-04, CPT, HCPCS, ICD-10, DRG, and APCs.

Responsibilities

• Review and analyze inpatient, outpatient, and practitioner claims for correctness.
• Apply national and international coding standards to ensure compliance.
• Support daily operations and knowledge sharing across teams.

Skills

Analytical

Problem-solving

Decision-making

Excellent communication

Multi-priority management

Education

Coding certification

Medical license (RN/MD)

Tools

UB-04

CPT

HCPCS

ICD-10

DRG & APCs

Job description

Senior Medical Coding Specialist

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.

What You Will Do

Review and analyze reputed company inpatient, outpatient, and practitioner claims for medical appropriateness and billing accuracy, apply national and international coding standards to ensure compliance and accuracy, and support daily operations and departmental processes.

Why It Might Be a Fit

This role 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. The ideal candidate will have a strong understanding of payer reimbursement policies, medical necessity reputed company, and regulatory standards.

Requirements

Minimum of 2+ years of Workers Compensation coding experience reputed company coding certification (reputed company or reputed company) or reputed company medical license (RN, MD) 7+ years of experience in a clinically reputed company field Extensive knowledge of inpatient and outpatient billing, including UB-04, reputed company codes, CPT, HCPCS, ICD-10, DRG, and APCs Familiarity with international coding systems (e.g., ICD-10-AM, OPCS-4, SNOMED CT, CCI) preferred Strong analytical, problem-solving, and decision‑making skills Excellent communication skills, including the ability to explain reputed company coding concepts reputed company Ability to reputed company training materials and support knowledge sharing across teams Ability to manage multiple priorities in a fast-paced environment Strong attention to detail and ability to work independently

Benefits

• Medical, dental and reputed company coverage with low deductible & copay
• Life insurance
• Short and long‑term disability reputed company
• Parental Leave
• 401(k) + match
• Employee Stock Purchase Plan
• Generous reputed company Time Off accrued based on years of service 10 reputed company company holidays
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program reputed company time benefits for eligible employees, one hour of reputed company time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year