Medical Coding Specialist

7 days ago

Dasmariñas, Calabarzon, Philippines beBeeCoding Full time ₱60,000 - ₱250,000
Job Description

We are seeking a detail-oriented and analytical Medical Coding Specialist to join our team. This role involves reviewing clinical documentation and accurately assigning codes to ensure clean claim submission and compliance with payer and regulatory guidelines.

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
  • Stay current with coding updates, payer policy changes, and specialty-specific coding rules
Requirements

To be successful in this role, you will need:

  • Certified Professional Coder (CPC) from AAPC (active status required)
  • 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, NCCI edits, and CMS rules
  • Experience with EMR/EHR systems such as WRSHealth, eClinicalWorks, Athenahealth, Kareo, DrChrono, etc
Preferred Qualifications

In addition to the above requirements, we prefer candidates with:

  • Coding experience in specialty areas such as Behavioral Health/Psychiatry, ENT, or Internal Medicine
  • Exposure to denial handling and billing workflows
  • Additional certifications such as CPMA or CRC
Benefits

This position offers:

  • A remote work environment
  • Standard US business hours (9am-5pm EST)
Other Information

Please note that this job description is intended to describe the general requirements for the position and may not be exhaustive.

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