Medical Coder

2 weeks ago


Cebu City, Central Visayas, Philippines KMC Solutions Full time

Accurately process and manage medical and vision care billing and coding tasks. Review clinical documentation, assign medical codes, and ensure claims compliance with insurance and regulatory requirements.


Review clinical documentation from physicians and vision care providers.
Assign CPT, ICD-10, and HCPCS codes based on services provided.
Maintain accurate and complete documentation to support coding and billing activities.
Prepare and submit claims to insurance companies, Medicare, and third-party payers.
Verify claims follow payer-specific guidelines and regulatory requirements.
Monitor claim status, identify issues, and resolve claim rejections, denials, or underpayments.
Track accounts receivable and maintain accurate records of outstanding payments.
Generate reports on coding accuracy, claim denial rates, and revenue impacts.
Analyze coding data to identify trends, areas for improvement, and revenue opportunities.
Collaborate with the billing department to resolve coding-related issues.
Provide expertise in coding to assist with claim resubmissions and appeals.
Analyze denial trends and recommend corrective actions to prevent future coding errors.


At least 2 years of Medical Billing and/or Coding experience.
Strong knowledge and understanding of ICD-10, CPT, and modifier codes required.
Excellent verbal, written, and interpersonal communication skills.
Exceptional listening and analytical skills.
Proficiency in electronic health records (EHR) systems and practice management software.
Intermediate level of expertise with PC hardware and software (Google Suite).
Experience with coding audits and compliance activities.
Strong analytical skills and attention to detail.


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