Clinical Coding Specialist

1 day ago


San Juan, National Capital Region, Philippines beBeeClinicalCoding Full time $50,000 - $70,000
Job Title:

A Clinical Coding Specialist is responsible for conducting thorough research and analysis of medical coding and billing documents to ensure accurate claims processing and denial management.

Key Responsibilities:
  • Research and identify relevant medical coding guidelines, policies, and procedures.
  • Provide written and oral presentations to stakeholders on proposed denial criteria and clinical content.
  • Support customers with their clinical content needs and provide expertise in coding conventions and guidelines.
  • Enter data into a database as required to support business operations.
  • Identify and resolve problems related to inpatient coding conventions and guidelines.
Requirements:
  • Bachelor's Degree in Nursing or a related field.
  • Active RN License with at least 5 years of experience in CPT Coding, HCPCS, Medical Billing, Claims Denials, and/or Chart Review/Auditing.
  • CCS-P or CPC certification highly desirable.
  • Previous experience working with US health insurance payers and excellent communication skills are essential.
  • Proficiency in MS Office Applications and ability to work effectively in a team environment.
Benefits:
  • Opportunity to work with a dynamic team and contribute to the success of the organization.
  • Competitive compensation and benefits package.
  • Professional development and growth opportunities.


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