Healthcare Content Specialist

3 days ago

Province of Palawan, Mimaropa, Philippines beBeeMedicalCoder Full time ₱70,000 - ₱90,000

**Job Title:** Healthcare Content Specialist

We are seeking a detail-oriented and organized individual to join our team as a Healthcare Content Specialist. The ideal candidate will have experience in medical coding, research, and communication.

Responsibilities:

  • Conduct thorough research on medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.
  • Provide written and oral presentations to medical directors and other clinical colleagues to obtain consensus on proposed denial criteria.
  • Offer clinical content support to our customers as needed.
  • Perform data entry of clinical content updates into the database, as required.
  • Analyze complex medical information to ensure accuracy and consistency in coding conventions.

Requirements:

  • Bachelor's degree in Nursing or related field.
  • 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 claims, appeals, or coding capacity.
  • Experience in denial management or claim review management is a plus.
  • Excellent verbal and written communication skills.
  • Proficient in MS Office Applications.
  • Able to work night shifts and from home.

About the Role:

This is an exciting opportunity to utilize your expertise in medical coding and research to contribute to the development of our automated claims editing solution.

What We Offer:

  • A dynamic and supportive work environment.
  • The chance to work with a talented team of professionals.
  • Opportunities for growth and professional development.

How to Apply:

Interested candidates should submit their resumes and cover letters for consideration.

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