Healthcare Medical Coding Specialist

18 hours ago

Bacoor, Calabarzon, Philippines beBeeCoding Full time ₱3,600,000 - ₱4,200,000
Medical Coding Specialist

The Medical Coding Specialist will be responsible for conducting thorough research and analysis of Medicare, Medicaid, and other medical coding documents to identify claim denial or covered criteria. This role involves providing written and oral presentations to clinical colleagues to obtain consensus on proposed denial criteria.

This is an excellent opportunity for a detail-oriented individual with experience in CPT Coding, HCPCS, Medical Billing, Claims Denials, and Chart Review/Auditing to join our team.

Key Responsibilities:
  • Conduct research and analysis of medical coding documents to identify claim denial or covered criteria.
  • Provide written and oral presentations to clinical colleagues to obtain consensus on proposed denial criteria.
  • Support the development and implementation of clinical content updates into our database.
  • Solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within our business rules.
Requirements:
  • 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.
  • Previous experience working with US health insurance payers in a claims, appeals, or coding capacity.
  • Excellent Communication Skills (verbal and written) enabling effective communication with all areas of the business.
  • Proficient in using MS Office Applications.
  • Amenable to Work on Night Shift.
  • Amenable to Work From Home Set-Up.
Seniority level
  • Mid-Senior level
Employment type
  • Full-time
Job function
  • Health Care Provider
  • Industries: Outsourcing and Offshoring Consulting

  • Chief Medical Code Specialist

    12 hours ago

    Bacoor, Calabarzon, Philippines beBeeMedicalCoder Full time ₱2,500,000 - ₱4,500,000

    Key Medical Coder RoleThe Same Day Surgery/Observation Medical Coder is a vital member of our healthcare team. They are responsible for accurately assigning diagnostic and procedural codes to patient charts, using coding classification systems such as ICD-10-CM, CPT, and HCPCS. This requires strong analytical skills and attention to detail.Essential...

  • Medical Coding Trainer Position

    12 hours ago

    Bacoor, Calabarzon, Philippines beBeeInpatient Full time ₱50,000 - ₱85,000

    At a leading healthcare solutions provider, we are dedicated to delivering exceptional business and workforce solutions. Our in-depth market expertise enables us to serve businesses efficiently.We are seeking a skilled Inpatient Coding Professional to support the development and delivery of comprehensive training programs related to medical coding and...

  • Certified Medical Billing and Coding Expert

    18 hours ago

    Bacoor, Calabarzon, Philippines beBeeMedical Full time ₱350,000 - ₱500,000

    Job Title: Medical Coding SpecialistWe are seeking a skilled Certified Medical Biller and Coder to excel in accurate and timely submission of medical claims, optimizing revenue cycles while maintaining compliance with regulatory standards.Key Responsibilities:Analyze and abstract medical information from patient records for physician/NP visits and home...

  • Healthcare Coding Professional

    18 hours ago

    Bacoor, Calabarzon, Philippines beBeeCoding Full time $55,000 - $75,000

    As a Coding Specialist, you will play a vital role in accurately assigning diagnostic and procedural codes to patient charts with low to moderate complexity. You will utilize coding classification systems like ICD-10-CM, CPT, and HCPCS to ensure precision and adhere to established guidelines and regulations.Key ResponsibilitiesAssign diagnostic and...

  • Senior Medical Coder

    19 hours ago

    Bacoor, Calabarzon, Philippines beBeeCoder Full time $66,000 - $85,500

    Medical Coding SpecialistThe professional in this role functions under the direction of a coding director and is responsible for assigning medical codes by abstracting and reviewing medical documentation according to established coding guidelines, payer guidance, and government regulations. This specialist must possess a high level of integrity, requiring a...

  • Medical Coding Specialist

    13 hours ago

    Bacoor, Calabarzon, Philippines beBeeCoder Full time ₱60,000 - ₱250,000

    Role OverviewA highly skilled Certified Medical Coder is required to review and assign accurate codes for clinical documentation, ensuring clean claim submission and compliance with payer and regulatory guidelines.The ideal candidate will have strong coding expertise, analytical skills, and problem-solving abilities to support a dynamic team.Coding Accuracy:...

  • Healthcare Medical Records Coordinator

    19 hours ago

    Bacoor, Calabarzon, Philippines beBeeSpecialist Full time ₱2,500,000 - ₱4,000,000

    Job OpportunityHealthcare Intake Specialist plays a pivotal role in the healthcare medical records retrieval process, ensuring accurate and complete requests for downstream success.

  • Expert Medical Coding Specialist

    18 hours ago

    Bacoor, Calabarzon, Philippines beBeeCoding Full time ₱360,000 - ₱630,000

    Medical Coding Trainer JobWe are seeking a highly skilled Medical Coding Trainer to join our team. The ideal candidate will have extensive knowledge of medical coding guidelines and regulations, as well as experience in training and education.Job DescriptionThe Medical Coding Trainer will be responsible for developing and delivering medical coding education...

  • Healthcare Billing Specialist

    19 hours ago

    Bacoor, Calabarzon, Philippines beBeeMedicalCoder Full time $60,000 - $90,000

    We are seeking a highly skilled and experienced medical coder to join our team. The successful candidate will be responsible for accurately translating doctor's notes and medical records into universal codes used by insurance companies and healthcare systems.">Translate doctor's notes and medical records into universal codes used by insurance companies and...

  • Healthcare Utilization Specialist

    18 hours ago

    Bacoor, Calabarzon, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000

    Job Title: Healthcare Utilization SpecialistThe Role:As a Healthcare Utilization Specialist, you will be responsible for assessing and interpreting customer needs, requirements, and medical records.Responsibilities:Review medical claims for medical necessityAssess and interpret customer needs, requirements, and medical recordsQualifications:Active PHRN and...