Medical Coding Specialist

2 weeks ago

Brisbane, Australia EML Full time

**Medical Coding Specialist**:
QLD - Brisbane Workers Compensation Full Time
- **Bring your medical coding skills**:

- **Flexibility to work from home 3 days per week**:

- **Ongoing career development and support**

Overview: Review and manage surgery related invoices and supporting the accurate payment of expenses in line with the relevant fee schedules and orders.

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**

The Medical Coding Specialist is responsible for the review and management of surgery related invoices and supporting the accurate payment of expenses in line with the relevant fee schedules and orders. 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 will be a **permanent** position commencing **immediately **based in the **Sydney **office but also open to other EML office locations over the nation. There will be flexibility to work from home 3 days per week.

**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.
- Review and monitor billing practices of treating medical practitioners, specialists and hospitals to ensure accuracy of coding of a worker’s treatment is relative to payments.
- Liaison with relevant claims staff and treating health practitioners where incorrect coding is identified to assist with obtaining an updated, accurate invoice from the practitioner.
- Identify and assist with the delivery of individual and group coaching/learning and development programs. Expanding and honing EML’s capability in the management of coding/billing practices for surgery and related expenses.
- Contribute to the development and implementation of strategies and solutions that support Claims Teams capability uplift, improved system controls and provider engagement with regard to surgery and related expenses.

**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 desirable.
- Demonstrated understanding of the AMA, MBS, National Procedure Banding and National Prothesis fee schedules.
- Demonstrated experience using various healthcare coding resource materials.
- Demonstrated solid foundational understanding of anatomy and physiology.
- Advanced communications skills both verbally and in writing
- Minimum intermediate proficiency in Microsoft office suite

Demonstrated attention to detail and proven ability to prioritise tasks and meet deadlines. **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

We value our people and are committed to supporting our employees by investing in their professional development and providing generous employee benefits. If this position is of interest to you, please.

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