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Certified Medical Records Clerk

2 weeks ago

Manila, National Capital Region, Philippines Theoria Medical Full time

Job Responsibilities:

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As a Medical Coder, your primary responsibilities include:

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  • Reviewing and analyzing medical records and documentation to ensure accurate coding.
  • Assigning appropriate ICD-10, CPT, and HCPCS codes based on documentation and coding guidelines.
  • Ensuring compliance with federal regulations, state laws, and payer requirements.
  • Collaborating with healthcare providers to clarify any discrepancies or obtain additional information.
  • Participating in ongoing education and training to stay updated on coding changes and regulations.
  • Conducting regular audits of coding accuracy and documentation to identify areas for improvement.
  • Assisting in resolving coding-related inquiries from payers, providers, and other stakeholders.
  • Maintaining confidentiality and adhering to HIPAA regulations.
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Requirements and Qualifications:

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  • Graduate with a BS in Nursing or comparable degrees in the medical field.
  • Certified Medical Coder (CPC, CCS, or equivalent) from a recognized accrediting body.
  • Proven experience in medical coding in a healthcare setting, for at least 2 years.
  • Strong knowledge of medical terminology, anatomy, and physiology.
  • RAF/HCC audit experience is preferred.
  • Familiarity with coding software and electronic health record (EHR) systems.
  • Excellent attention to detail and strong analytical skills.
  • Ability to work independently and as part of a team.
  • Strong communication skills, both verbal and written.
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Shift Structure:

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The ideal candidate must be able to work Mon-Fri 9:00 pm to 5:00 am PST.