Medical Coding Expert for Healthcare Operations

6 days ago


Manila, National Capital Region, Philippines COTIVITI Philippines Full time

Job Overview:

Cotiviti Philippines is seeking a highly skilled Medical Coding Expert to join our team. As a key member of our healthcare operations team, you will play a crucial role in ensuring the accuracy and efficiency of medical coding processes.

About the Role:

This is an exciting opportunity for a registered nurse with CIC or CCS certification and prior DRG experience to take on a challenging role that requires strong analytical skills, attention to detail, and excellent communication skills.

Key Responsibilities:

  • Utilize knowledge of ICD-10 CM & DRG Expert to assign accurate codes for various medical procedures and conditions
  • Analyze medical claims payment policy and processing, specifically CMS and Medicaid regulations
  • Collaborate with cross-functional teams to ensure seamless execution of medical coding processes
  • Maintain high levels of detailed accuracy and efficiency in work

Requirements:

To be successful in this role, you must possess the following qualifications:

  • Registered nurse with CIC or CCS certification and prior DRG experience (at least 1-2 years)
  • Strong understanding of US Healthcare, medical coding, medical billing, RCM health plan operations
  • Excellent written and verbal communication skills, with ability to think logically and process sequentially
  • Proficient in Microsoft Word, Excel, PowerPoint, Outlook, and other relevant software

What We Offer:

  • Competitive compensation package
  • Day 1 HMO coverage with free 2 dependents
  • Life Insurance
  • Onsite Allowance
  • Relocation assistance for successful hires willing to relocate to Cebu City

Office Locations:

  • Manila: Cotiviti Office located at 15th Floor, Robinsons Cyberscape Gamma, Topaz Rd, Ortigas Center, Pasig
  • Cebu: 1 Nito Tower Archbishop Reyes Avenue Cebu City


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