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Medical Coder

1 month ago

Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

Experienced Inpatient/Outpatient Medical Coders sought for a dynamic team.

Access Healthcare is looking for experienced Inpatient/Outpatient Medical Coders to join our 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.

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:
      • DRG
      • CDI
      • ED Facility
      • Observation
      • Evaluation 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.