Title: Medical Coding Specialist, ICD/OIICS Coder Location: Tumwater, WA Job Description: Salary $47,100.00 - $63,252.00 Annually Location Thurston County – Tumwater, WA Job Type Full Time - Permanent Remote Employment Flexible/Hybrid Job Number 2026-03704 Department Dept. of Labor & Industries Division Insurance Services – Claims Admin Salary Information The high end of the salary range, Step M is typically a longevity step - Description - Benefits - Questions Description Our Mission: Keep Washington Safe and Working! Our Values: Customer Focus, One L&I, Respect, Diversity, Equity and Inclusion, Learning and Growth, Reliability Job Highlights An exciting opportunity awaits within Claims Administration, in the Insurance Services Division, as a Medical Coding Specialist. This Medical Coding Specialist uses independent judgement to review and analyze medical and occupational information in individual claims files to adjudicate the most accurate International Classification of Disease Volume 10 (ICD-10) codes, Occupational Injury and Illness Classification System (OIICS) codes, Standard Occupational Classification (SOC) codes, and document their decision making. This position, under the direction of a supervisor and lead, applies specific coding business rules on incoming reports of accidents and other coding milestones to ensure that some 4 million bills received each year for health care services receive appropriate payment. This Medical Coding Specialist contributes to the economic well-being of the state by improving the accuracy of diagnostic and occupational codes on claims in the workers’ compensation system. Accurate coding helps workers heal and return to work by improving the agency’s ability to implement healthcare policies and utilize evidence based medicine. Additionally, this position also applies specific coding business rules on incoming claims to enhance accuracy and quality for federal labor statistics, impacting data collection and employer based rate setting. Duties Some of what you’ll do: - Review and manage a caseload of compensation claims that require coding adjudication in accordance with the Federal Occupational and Industrial Insurance laws, case law, and department rules and policies. - Research medical, occupational, or legal issues for coding actions. - Research and resolve conflicting eligibility information regarding diagnostic and occupational coding. - Investigate, analyze, and review medical records to assist in recouping and/or adjusting health care payments. - Analyze claim files for appropriate level of medical and occupational academic detailing. - Explain adjudicative coding decisions to internal and external customers. - Act as a technical resource and subject matter expert for all ICD, OIICS, and SOC coding questions. - Document all claim interactions and decisions. Qualifications Required: - Four (4) years of experience in medical coding, medical billing, medical policy making or fee schedule creation with an emphasis on diagnosis coding. OR Associate’s degree and (2) years of experience in medical coding, medical billing, medical policy making or fee schedule creation with an emphasis on diagnosis coding AND - Current certification as a Certified Professional Coder with the American Association of Professional Coders (or equivalent) or ability to obtain certification within two years of hire. *Additional professionally related experience can be substituted year for year for the Associates degree* AND - The ability to take action to learn and grow. - The ability to take action to meet the needs of others. Supplemental Information Things You Need To Know To help you maintain a proper work-life balance, teleworking is one of the work schedule options for this position. L&I also offers flexible custom work schedules. State employees who meet the qualifications will become eligible for a generous retirement package at the end of the employee’s career. Click on the “Benefits” tab to learn more. At L&I, your voice matters. In addition, L&I is a diverse state agency dedicated to the safety and health and security of Washington's 3.3 million workers. Take a look at this brief video and learn more about why L&I is an employer of choice. For this position, full time telework is available, along with flex and hybrid--all work schedules are dependent upon business needs and supervisor approval. The assigned duty station for this position is Tumwater, Washington. For positions where in-office work is necessary, the frequency of telework will be discussed with the supervisor of the position at the time of offer. Application process We will contact the top candidates directly to interview for this position. Because we base the selection on information provided by you, it is in your best interest to identify the knowledge, skills, and abilities that address the required and desirable qualifications described in the announcement. Please include the following documents with your application: - A cover letter describing specific qualifications. - A current resume detailing applicable experience and education. - A list of at least three professional references with current telephone numbers. Please Note: Applicants selected to move forward in the hiring process will be contacted by email to schedule a skills assessment. Skills assessments are conducted in person and take place at our office in Tumwater, WA. Please do not attach or place any medical information (vaccination status included) within the application, resume, or cover letter. If you do, we will have to reject your application to safeguard others from receiving your confidential information. You will have to remove the confidential information before you can apply again. Background Check Notice: Prior to a placement in this position, a background check, including criminal history record will be conducted. Information from your background check will not necessarily preclude employment but will be considered in determining your eligibility to perform the requirements of the position. To learn more about our hiring process timeline at L&I please visit our L&I recruiting page at Hiring Process at L&I. If you would like to read our website in a language other than English, scroll up to the top of the page to select your language of choice from the banner. Other information - For positions requiring travel, you must have a valid unrestricted driver's license and have insurance if driving a privately owned vehicle on state business. - This position is represented by the Washington Federation of State Employees (WFSE). - Candidates who are offered a job with L&I must possess work authorization that does not require sponsorship by the employer for a visa now or in the future. - The Department of Labor & Industries complies with the employment eligibility verification requirements of the federal employment eligibility verification form, I-9. The selected candidate must be able to provide proof of identity and eligibility to work in the United States consistent with the requirements of that form on the first day of employment. - Please note: L&I may use this announcement to fill multiple permanent and/or non-permanent positions. - Applicants selected to move forward in the hiring process will be contacted by email to schedule a skills assessment. This assessment will take place at our headquarters building in Tumwater, WA, and will take up to a maximum of 3 hours. Did You Know? Washington is America's Top State to live, play, and work, according to U.S. News (2021). Join the L&I team and enjoy all the Evergreen State has to offer. In addition to offering a positive balance between life and work, L&I provides one of the most competitive benefits packages in the nation. We also believe your voice matters. We value our employees and their work-life balance by encouraging flexible schedules. L&I is a diverse state agency dedicated to the safety and health and security of Washington's 3 million workers. Diversity, Equity, and Inclusion Employer L&I employees come from all walks of life. We strive to hire great people from a wide variety of backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. We believe in the importance of recognizing the value each of us contribute to the success of the agency mission. Having a diverse workforce is this agency’s greatest resource of strength and knowledge. It is through the combination of talents and abilities that we can pursue finding effective measures to provide the best customer service. We are committed to building a diverse and inclusive workplace for everyone and we strongly mean everyone. You are welcome to include the name and pronoun you would like to be referred to in your materials and we will honor this as you interact with our award-winning diverse and inclusive organization.

Review and analyze medical record documentation for accurate coding of surgical procedures. Collaborate with surgeons to ensure coding precision and adhere to healthcare billing standards while maintaining comprehensive knowledge of medical terminology...

Coding Supervisor locations Remote - Nationwide time type Full time job requisition id R044969 O.N.E Purpose: - Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. - Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. - Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: - Bonus Incentives - Paid Certifications - Tuition Reimbursement - Comprehensive Benefits - Career Advancement - This position pays between $57,400 to $86,100 annually based on experience The Coding Supervisor is responsible for the day-to-day coding activities for the respective acute care or physician facilities within the company. This includes assisting the Manager and/or Director, and/or Coding Sr. Leader, with duties assigned to assure Accounts Receivable and Discharged Not Billed goals are met. Job Responsibilities: - The supervisor is responsible for the staffing, organizing and directing of coding activities within a given facility under the direction of the market Coding Manager. They will coach (SMART Responsibilities where applicable), develop, complete timely performance evaluations and discipline those staff members under their responsibility as needed. - Assists with the creation and delivery of educational presentations/material related to coding. - Monitors progress and achievement of coding goals and objectives and reports such information in a timely manner as requested by leadership. - Monitors workflow, productivity and quality of coding and abstracting functions per system guidelines. Performs routine audits of work performed by all staff members. - Maintains knowledge of all federal and state rules and associated coding guidelines. - Assists in the development of policies and procedures and monitors staff compliance with policy and procedures. - Acts as site resource person for coding related questions, to include assisting members of the medical staff and members of the management team. - Completes staff schedules and timecards according to Company policy. Holds staff accountable for compliance with paid time off, (PTO) policies. - Acts as a technical resource and assists with resolution of technical issues and/or works with appropriate staff/department to rectify technical issues impeding the functions of the coding team. - If workload demands, accurately assigns codes to any medical record in conformance with American Hospital Association, (AHA) coding guidelines and/or financial payer requirements. Assigns appropriate modifiers and present on admission, (POA) indicators as necessary. Assigns appropriate Diagnosis Related Group, (DRG) to reflect the documentation within the medical record. Experience We Love: - 3 years of coding experience in either pro-fee or acute care setting to include inpatients, outpatients, and emergency department records or provider coding. - Leadership experience - Satisfactory completion of Anatomy and Physiology as well as Medical Terminology. - Thorough working knowledge of coding classification systems to include Diagnosis Related Groups, (DRGs) and All Patient Refined - Diagnosis Related Groups, (APR-DRGs.) - Knowledge of Clinical Documentation and query processes. - Ability to function independently with minimal supervision, as well as part of a team. - Knowledge of medical record content to include electronic medical records, (EMRs.) - Ability to function under continual deadlines. Ability to maintain accuracy during frequent interruptions. - Proficiency in keyboarding skills and working knowledge of computers. - Excellent communication skills. - Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI. - This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimum Education: - Bachelors Degree or Equivalent Experience Certification Required: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): - CCS (Certified Coding Specialist) - CIC (Certified Inpatient Coder) - COC (Certified Outpatient Coder) - CPC (Certified Professional Coder) - CPMA (Certified Professional Medical Auditor) - RHIA (Registered Health Information Administrator) - RHIT (Registered Health Information Technician) AND - HFMA Certified Revenue Cycle Representative (CRCR) or completion within 9 months #LI-HB1 #LI-REMOTE Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: - Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. - Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. - Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. - Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Role Description Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. This role is responsible for: - Reviewing medical records and claims-related documentation for coding accuracy. - Identifying billing and compliance issues. - Preparing audit documentation and reports. - Supporting appeals activities. The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and writing skills. This is a remote position with occasional travel required within Indiana. Qualifications - Coding certification such as CCS, CPC, or CPMA required. - At least 1 year of medical coding, claims review, billing compliance, or related healthcare reimbursement experience. - Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred. - Candidate located in or near the Indianapolis area preferred. - Proficiency in Microsoft Excel, Word, and Outlook. - Strong analytical, critical thinking, problem-solving, and technical writing skills. - Ability to work independently and collaboratively in a fast-paced environment. - Experience working with healthcare providers strongly preferred. - Knowledge of healthcare claims data and fraud, waste, and abuse preferred. Requirements - Maintain detailed workpapers documenting procedures performed, records reviewed, findings identified, and conclusions reached. - Assist with audit responses and appeals as needed. - Ensure all work aligns with state, federal, and national coding and reimbursement guidelines. - Stay current on CPT, HCPCS, ICD-10-CM, and Medicaid coding guidelines, policies, and regulatory updates. - Research Indiana Medicaid rules and maintain internal repositories of bulletins, policies, and procedures. - Adapt quickly to changing priorities, policies, regulatory updates, and review requirements while maintaining accuracy and meeting deadlines. Company Description Briljent is a solutions-based company. Solutions come from creative ideas; ideas come from being creative with differences. Briljent believes diversity and inclusion are critical to the success of the company. Employment at Briljent is based on merit and professional qualifications. We do not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, national origin, disability, age, veteran status, marital status or any other basis protected by federal, state or local law, regulation or ordinance.