Medical Coder | RN with CPC | WFH | Night Shift

3 weeks ago

Dasmariñas, Philippines MicroSourcing Full time

Overview Position: Medical Content Analyst Location: GSC Tower, BGC, Taguig City Work Set-up & Shift: Work From Home and Night Shift Responsibilities Research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution. Provide written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain consensus on proposed denial criteria. Provide clinical content support to our customers as needed. Perform data entry of clinical content updates into database, as needed. Solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within Lyric business rules. Required Qualifications Bachelor\'s Degree in Nursing. Active RN (PRC) License. AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC). At least 5 years of experience in CPT Coding, HCPCS, Medical Billing, Claims Denials and/or Chart Review/Auditing. Experience working with US health insurance payers in a claims, appeals or coding capacity. Experience in denial management or claim review management is a plus. Excellent verbal and written communication skills. Proficient in MS Office applications. Amenable to work night shift. Amenable to work from home setup. #J-18808-Ljbffr

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