
Code Healthcare Data
2 days ago
The Medical Coding Specialist will be responsible for reviewing clinical documentation, assigning accurate codes and ensuring clean claim submission.
Key Responsibilities:- Review and audit provider documentation for coding accuracy and completeness.
- Assign or suggest appropriate ICD-10-CM and CPT codes in compliance with CMS and payer guidelines.
- Communicate with providers for clarification when documentation is unclear or insufficient.
- Identify documentation gaps, coding trends and opportunities for provider education or process improvements.
- Collaborate with billing staff and team leads to resolve coding-related issues.
- Maintain strict HIPAA compliance and confidentiality in all activities.
- Active Certified Professional Coder (CPC) certification from the American Academy of Professional Coders (AAPC).
- Minimum of 2 years' experience in medical coding for U.S.-based providers.
- Strong knowledge of ICD-10-CM and CPT coding systems.
- Familiarity with U.S. payer guidelines, National Correct Coding Initiative (NCCI) edits and CMS rules.
- Experience with electronic health record (EHR) systems such as WRSHealth, eClinicalWorks, Athenahealth, Kareo, DrChrono, etc.
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Coding and Data Analysis Specialist
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Marikina City, National Capital Region, Philippines beBeeCoder Full time ₱400,000 - ₱600,000Job SummaryMedical coders play a crucial role in the healthcare industry by accurately assigning diagnosis and procedure codes to patient records. This involves using established coding systems, such as ICD-10-CM or ICD-10-PCS, to ensure that relevant clinical information is correctly documented.Main ResponsibilitiesAbstract relevant clinical data from...