Healthcare Content Development Specialist

7 days ago


Rizal, Philippines beBeeClinical Full time ₱600,000 - ₱1,000,000

Job Overview:

The role involves research and analysis of Medicare, Medicaid, and medical coding and billing documents to inform our automated claims editing solution.

  • Conduct in-depth research and identify relevant documents to support the development of our claims editing solution.
  • Collaborate with Medical Directors and clinical colleagues to obtain consensus on proposed denial criteria through written and oral presentations.
  • Provide expert clinical content support to customers as needed.
  • Enter data into our database to ensure accurate updates.
  • Solve complex problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within our business rules.
Required Skills and Qualifications:
  • Bachelor's Degree in Nursing and active RN license.
  • Advanced certification in Coding Specialist - Physician (CCS-P) or 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.
  • Experience in denial management or claim review management is an asset.
  • Excellent verbal and written communication skills.
  • Proficiency in MS Office applications.


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