Medical Coder | IP/OP | Pioneer Team | Pasay

9 hours ago

Metro Manila, Philippines Access Healthcare Services Manila, Inc. Full time

Access Healthcare is looking for experienced Inpatient/Outpatient Medical Coders to join our PIONEER TEAM team. The ideal candidate will have at least 3 years of outpatient coding experience in one or more of the following specializations: Inpatient DRG, Clinical Documentation Specialist, Emergency Department (ED) Facility, Observation, Evaluation Management (E/M), Denials and Appeals, and Same Day Surgery. This role requires AAPC or AHIMA certification.

 

Start Date - October 31,  2024

Work Location - Double Dragon Building, Pasay City

Schedule - Dayshift

 

Key Responsibilities:

Accurately assign appropriate ICD-10, CPT, and HCPCS codes for outpatient services such as ED Facility, Observation, Evaluation Management, Denials and Appeals, and Same Day Surgery and Inpatient services like DRG and CDI.Review and analyze patient medical records to identify relevant diagnoses and procedures for coding purposes.Ensure coding compliance with federal regulations and guidelines, adhering to payer-specific requirements.Assist in the resolution of coding-related denials and appeals by collaborating with the AR and billing teams.Maintain a high level of coding accuracy and productivity while meeting project-specific deadlines.Participate in coding audits and implement feedback to improve coding performance.Keep up-to-date with coding guidelines, payer regulations, and industry standards.Provide support for process improvement initiatives aimed at enhancing coding efficiency and accuracy.

 

Qualifications:

Education & Certification:AAPC or AHIMA certification (CPC, CCS, or equivalent).Experience:Minimum of 1 year of experience in outpatient coding with expertise in one or more of the following areas:DRGCDIED FacilityObservationEvaluation Management (E/M)Coding Denials and Appeals (Professional)Skills and Competencies:Strong knowledge of ICD-10, CPT, and HCPCS coding standards.Familiarity with medical billing, coding software, and EHR systems.Ability to work independently while maintaining accuracy and productivity.Strong problem-solving skills with experience in coding denials and appeals.Excellent communication skills for effective collaboration with cross-functional teams.Commitment to compliance with industry and client standards.

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