Certified Medical Coder

5 days ago

Santa Rosa, Philippines MedCore Solutions Full time

Certified Medical Coder (Primary Care) | Permanent WFH Join to apply for the Certified Medical Coder (Primary Care) | Permanent WFH role at MedCore Solutions. Overview We are looking for an experienced and detail-oriented Certified Medical Coder with strong expertise in Primary Care and Pro Fee coding. The ideal candidate will accurately assign and sequence diagnostic and procedural codes based on clinical documentation to ensure proper billing, reimbursement, and regulatory compliance. This role involves collaboration with providers, clinical staff, and internal teams to maintain the highest standards of coding accuracy and data integrity. Key Responsibilities Review clinical documentation to assign and sequence ICD-10, CPT, and HCPCS codes for various patient types (Hospital, Clinic, Ancillary, and Physician Pro Fee). Analyze facility and provider records to ensure accurate APC and Evaluation & Management (E/M) coding. Abstract clinical data and validate documentation adequacy to support diagnoses, procedures, and discharge dispositions. Serve as a resource for providers and client staff regarding compliant coding practices and provider queries. Maintain strict HIPAA compliance and uphold patient and provider confidentiality at all times. Participate in team meetings, trainings, and continuing education sessions to stay current with coding updates and regulations. Ensure consistent coding accuracy at or above the 95% quality threshold while meeting productivity standards. Qualifications / Requirements Active AHIMA credential (RHIA, RHIT, CCS, or CCA) or AAPC credential (COC, CCS-P, CPC, or related). Minimum of 2 years’ recent hands-on coding experience, preferably in primary care or multi-specialty settings. In-depth knowledge of medical terminology, anatomy, physiology, pathophysiology, pharmacology, and coding systems (ICD-10, CPT, HCPCS). Strong computer proficiency, including MS Office (Outlook, Word, Excel) and data entry accuracy. Excellent communication, analytical, and problem-solving skills. Work-from-Home Requirements Device: Personal computer with Intel Core i5 or higher, or AMD Ryzen 5 or higher. Internet: Wired connection with at least 50 Mbps download speed, plus a backup connection (e.g., mobile hotspot or prepaid Wi-Fi). Work Environment: Quiet, well-lit space with minimal background noise. Benefits / Perks Permanent Work From Home Weekly Paychecks Thriving Company Culture with Complete Autonomy Exclusive Specialized Training Programs Competitive Salary About MedCore Solutions MedCore Solutions is the healthcare division of BizForce, dedicated to supporting U.S.-based healthcare clients through a skilled remote workforce in the Philippines. We connect top clinical and administrative talent with reputable healthcare organizations, providing rewarding work-from-home careers. Why work for Bizforce? Bizforce is a global remote workforce solutions company partnering with leading firms. We focus on delivering dependable high-quality skilled labor and business processes to U.S.-based companies. Bizforce supports remote work from the Philippines and provides access to technology and resources for professional growth. Job Details Seniority level: Associate Employment type: Full-time Job function: Health Care Provider, Customer Service, and Project Management Industries: Hospitals and Health Care #J-18808-Ljbffr

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