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Medical Coding Specialist

4 weeks ago

Porac, Philippines Sourcefit Full time

Position Summary

The Medical Coding Specialist ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately.

Job Details
  • Work from Home
  • Monday to Friday | 7:00 PM to 4:00 AM Manila Time
  • US Holidays will be followed
Responsibilities
  • Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
  • Collect health information as documented by medical specialists and code them appropriately.
  • Consult medical specialists for further clarification and understanding of items on patient charts to avoid any misinterpretations.
  • Ensure that codes tally with doctors’ diagnosis.
  • Evaluate and re-file appeals of patient claims that were denied.
  • Be updated about new coding rules as codes change from time to time.
  • Collect and distribute coding-related information and billing issues.
  • Provide accurate answers to queries on coding.
  • Other duties as assigned by management.
Qualifications
  • Must have at least 3-5 years of billing and/or coding experience in a medical environment.
  • Comprehensive knowledge of insurance plans, member eligibility, insurance billing, and medical coding.
  • Strong background in both government and commercial payers.
  • Understanding of CPT, ICD-10, UB, HCFA, and 837 terminologies.
  • Excellent interpersonal and customer service skills.
  • Detail-oriented.
  • Strong problem-solving and research skills.
  • Excellent math, verbal, and communication skills.
  • Computer proficiency.
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