Medical Coding Specialist

7 months ago

Sydney, Australia EML Full time

EML is a leading Workers Compensation and Personal Injury Claims Management business. Our goal is to help people get their lives back through ongoing support during their return-to-work journey. We continue to experience ongoing growth and now have over 4,000 dedicated employees. We foster a learning culture that allows for us to continually invest in our employees ensuring a long-term career here at EML.

THE OPPORTUNITY

Working as part of a collaborative team, the team will provide oversite and advice to the claims teams to support the thorough review and accurate payment of surgical and related invoices.

This is a permanent, full-time position based in the Sydney office with flexibility to work from home.

YOUR RESPONSIBILITIES
- Thorough review and management of surgery related invoices to support highly accurate payment of surgical expenses in line with the relevant fee schedules and orders.
- Inform and assist with the implementation of case management practices to ensure surgical and related requests are considered in line with State Insurance Regulatory Authority (SIRA) fee schedules and AMA, MBS, National Procedure Banding and National Prothesis fee schedules to ensure compliance with schedules.
- Inform and assist with the implementation of coding practice standards and policies to uplift the Claims Teams capability to review and scrutinise medical coding and invoices in relation to surgeries.
- Creating and maintaining strong relationships with all stakeholders, internal clients, and external clients and service providers by displaying our values and behaviours.
- Monitor external service provider behaviour to support a reduction in billing inaccuracies and reduced medical spend leakage related to surgeries.

ABOUT YOU
- More than 2+ years demonstrated experience working as a Medical Coding Specialist within a health care setting (hospital and/or private health insurer) or Workers Compensation or CTP Insurer.
- Health Information Management degree or similar clinical coding degree or certificate is highly desirable.
- Demonstrated understanding of the AMA, MBS, National Procedure Banding and National Prothesis fee schedules.
- Strong communication skills with an ability to coach internal team members

WHAT WE OFFER

We stand together as equals. EML is an equal opportunity employer so by coming to work for us, you will be part of a culture that celebrates diversity and inclusion. We are committed to maintaining a workplace where everyone feels valued and where we show respect, integrity and honesty.

EML provides career opportunities and great employee benefits, including:

- A vibrant, collaborative innovative team culture
- Flexibility with opportunity to WFH when you are fully trained in your role.
- A corporate wellbeing program with discounted health insurance and gym membership
- Access to discounts at over 350 retailers through our Rewards Hub program
- Entitlement to an annual tenure and performance-based recognition reward
- Comprehensive learning and development support
- Companywide events to celebrate success.
- Quarterly Reward and Recognition Awards
- Up to 16 weeks paid parental leave, plus super

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