Expert Clinical Coding Professional

8 hours ago


Paranaque City, Calabarzon, Philippines beBeeCoding Full time $60,000 - $80,000
Job Title:

Medical Coding Specialist

Job Summary

This position involves conducting thorough research and identifying Medicare, Medicaid, and other medical coding and billing documents to determine claim denial or covered criteria for our automated claims editing solution.

Key Responsibilities
  1. Conduct comprehensive research and identify relevant Medicare, Medicaid, and other medical coding and billing documents to determine claim denial or covered criteria for our automated claims editing solution.
  2. Develop and present written and oral presentations to physicians and clinical colleagues to obtain consensus on proposed denial criteria.
  3. Provide expert clinical content support to customers as needed.
  4. Enter data into a database and perform routine updates as required.
  5. Apply knowledge of inpatient coding and ICD-10-CM coding conventions/guidelines to solve problems related to the interpretation of clinical content within business rules.
Requirements
  • Bachelor's Degree in Nursing.
  • Active RN (PRC) License.
  • CCS-P Certification from AHIMA or CPC Certification from AAPC.
  • Minimum 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.
  • Denial management or claim review management experience is an advantage.
  • Excellent Communication Skills (verbal and written).
  • Proficient in MS Office Applications.
  • Able to work night shifts and have a suitable home workspace.


  • Antipolo City, Calabarzon, Philippines beBeeCoding Full time ₱1,500,000 - ₱2,000,000

    Clinical Coding SpecialistThis role plays a pivotal part in ensuring the accurate and timely submission of medical claims. You will utilize expertise in clinical coding processes to optimize revenue cycles while maintaining compliance with regulatory standards.Analyze patient records for physician/NP visits and home health start-of-care visits to extract...


  • Antipolo City, Calabarzon, Philippines beBeeCoder Full time ₱900,000 - ₱1,200,000

    Job OpportunityThe organization seeks an experienced Medical Coder to join its team. The successful candidate will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.This solution is utilized by medical...


  • Paranaque City, Calabarzon, Philippines beBeeMedical Full time ₱34,000

    Transform your career with a dynamic opportunity in medical coding.Earn up to P34,000 Salary + RN Allowance + Non Tax Allowance.Qualifications:Active RN License.At least 1-2 years clinical experience (Hospital, Company, School).Job Description:Coding and coding auditing services directly to providers.Analysis and translation of medical and clinical...

  • Medical Coding Expert

    5 hours ago


    Paranaque City, Calabarzon, Philippines beBeeCoding Full time ₱60,000 - ₱250,000

    Job Role: Medical Coding SpecialistThe primary focus of this position is to review clinical documentation with the utmost accuracy, ensuring proper code assignment for clean claim submissions and compliance with payer and regulatory guidelines.Duties and Responsibilities:Perform a thorough audit of provider documentation to verify coding accuracy and...


  • Antipolo City, Calabarzon, Philippines beBeeMedicalCoding Full time ₱500,000 - ₱600,000

    Senior Medical Coding SpecialistWe are seeking an experienced and detail-oriented Senior Medical Coder to work in a fast-paced medical office setting. The ideal candidate will have extensive experience in coding for primary care services and a thorough understanding of medical coding guidelines and regulations.Key Responsibilities:Accurately assign...


  • Paranaque City, Calabarzon, Philippines beBeeCoding Full time ₱500,000 - ₱1,000,000

    Healthcare professionals with a keen eye for detail can find rewarding opportunities as medical coders. These specialists are responsible for assigning diagnosis and procedure codes to patient records using established classification systems and coding regulations.Key Responsibilities:Clinical data extraction from patient files.Accurate coding of diagnoses...


  • Paranaque City, Calabarzon, Philippines beBeeCoding Full time ₱1,200,000 - ₱1,400,000

    Overview:We are seeking a seasoned Medical Coding Specialist to join our team.">Job Summary:Coding and billing expert with extensive experience in primary care services, adept at applying ICD-10, CPT, and HCPCS codes while ensuring regulatory compliance.Patient chart reviewer, responsible for verifying the accuracy and completeness of coding and...


  • Paranaque City, Calabarzon, Philippines beBeeArticulation Full time $60,000 - $120,000

    We are seeking an expert in AI-generated code evaluation to support the development of generative AI models. This opportunity brings together subject matter experts from various fields to contribute their expertise. The ideal candidate will have the ability to review and evaluate AI-generated code for quality and accuracy, write clear evaluations, and...


  • Antipolo City, Calabarzon, Philippines beBeeMedical Full time ₱5,400,000 - ₱7,200,000

    Medical Writer Job DescriptionWe are seeking a skilled Medical Writer to join our team. This is an exciting opportunity for individuals with expertise in clinical documentation, medical coding, and policy analysis.Job ResponsibilitiesDevelop high-quality clinical content that adheres to best practices and guidelines.Collaborate with cross-functional teams to...


  • Paranaque City, Calabarzon, Philippines beBeeMedicalCoder Full time $59,282 - $98,124

    Medical Coding PositionWe are seeking a detail-oriented and experienced Certified Medical Coding Specialist to fulfill a critical role within our organization.This position directly supports the quality of patient care and financial integrity by reviewing medical records, assigning accurate codes for diagnoses and procedures, and ensuring compliance with all...