Medical Coder | RN and CPC | WFH | Night Shift

2 days ago

Davao City, Philippines MicroSourcing Full time

Overview Medical Coder | RN and CPC | WFH | Night Shift Join to apply for the Medical Coder | RN and CPC | WFH | Night Shift role at MicroSourcing. Position details 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. Must have an Active RN (PRC) License. Must be an 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 are required. Previous experience working with US health insurance payers in a claims, appeals or coding capacity is also required. Experience in denial management or claim review management is a plus/advantage. Excellent communication skills (verbal and written). Proficient in using MS Office Applications. Amenable to work on Night Shift. Amenable to Work From Home Set-Up. About MicroSourcing With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines. We foster an inclusive culture that embraces diversity and empower individuals to thrive. For more information, visit Equal Opportunity Terms & conditions apply. #J-18808-Ljbffr

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