Medical Coder

POSITION OVERVIEW

Client seeking one full-time Credentialed Medical Coder (Coder Level 2 preferred, but Level 1 candidates may be considered). The coder will serve as a medical policy resource supporting ICD-10-CM diagnosis coding and CPT coding for internal BWC staff, MCOs, TPAs, medical providers, and hospitals.

The coder will:

• Answer verbal and email inquiries related to proper diagnosis coding
• Identify correct diagnosis codes for workers' compensation claims
• Translate written injury descriptions into accurate ICD-10-CM diagnosis codes
• Assist with reviewing ICD reports, analyzing coding accuracy, and resolving coding discrepancies

2. MINIMUM REQUIREMENTS (MANDATORY)

Per BWC RFQ and Medical Coder Specifications:

Credentials MUST have one of the following:

• AHIMA: CCS, RHIT, or RHIA
• AAPC: CPC

Experience:

• Coder Level 2 preferred: 3 4 years of medical coding experience
• Coder Level 1 acceptable: 1 2 years of experience
• BWC minimum requirement: At least 2 years' experience in ICD-10-CM diagnosis and CPT coding.

Technical Proficiency:

• Fluent in ICD-10-CM diagnosis coding and CPT procedures
• Knowledge of HCPCS
• Ability to apply nationally recognized correct coding guidelines

Other Required Skills:

• Ability to handle time-sensitive coding issues
• Strong written and verbal communication skills
• Ability to maintain accuracy and consistency in coding

Work Requirements:

• Must work onsite at BWC Columbus office
• Must work 40 hours/week, 8 hours/day, during BWC core hours (8:00 a.m. 5:30 p.m.)

3. RESPONSIBILITIES (DAILY + ROLE-SPECIFIC)

Core Job Duties:

• Review and analyze diagnoses to assign correct ICD-10-CM and CPT codes
• Serve as technical coding resource for BWC personnel and external partners
• Provide accurate code assignment for workers' compensation claims
• Collaborate with BWC program managers to ensure compliance with applicable laws, rules, and agency policies
• Assist in identifying and resolving coding discrepancies (CPT and HCPCS)

Analytical & Administrative Tasks:

• Monitor ICD reports generated by BWC systems
• Maintain high standards of accuracy and efficiency
• Draft or update policies and procedures (developed after employment)
• Conduct research and interpret coding guidelines as needed

4. DESIRED SKILLS & KNOWLEDGE

(Based on Coder Level 2 profile, which is the target level)

• ICD-10-CM diagnostic codes and grouping methodologies
• Human anatomy & physiology
• Healthcare delivery systems
• Database and health information systems
• Applied statistics (developed after employment)
• MS Office Suite: Word, Excel, PowerPoint, Outlook
• Ability to gather, collate, classify, and analyze data
• Strong reporting and documentation skills
• Ability to handle sensitive inquiries professionally

5. SUMMARY FOR RECRUITERS

Ideal candidate:

• Credentialed, experienced ICD-10-CM/CPT coder (preferably Level 2 with 3 4 years experience)
• Strong analytical skills, accuracy-driven, can resolve coding discrepancies
• Able to work onsite full time at BWC Columbus
• Good communicator, responsive, reliable
• Cleared to work in the U.S. and able to pass a background check