Clinical Coding Specialist

5 hours ago


Antipolo City, Calabarzon, Philippines beBeeCoding Full time ₱1,500,000 - ₱2,000,000
Clinical Coding Specialist

This 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.

  1. Analyze patient records for physician/NP visits and home health start-of-care visits to extract relevant information.
  2. Coding diagnostic and procedural information in compliance with ICD-10, Home Health PDGM, CPT-4, HCPCS, MS-DRGs, APCs, and POAs following national guidelines.
  3. Document essential patient details including medication history, medical history, active diagnoses, and preventive care screens.
  4. Collaborate with healthcare professionals to improve documentation, coding accuracy, and compliance.
  5. Stay current with changes in coding regulations and provide education as needed.
  6. Participate in Quality Assurance/Quality Improvement initiatives.
  7. Develop effective communication with clinical staff, insurance plans, and hospital systems.
Qualifications and Skills
  1. Background in a medical field with experience in clinical coding and billing.
  2. Proficient English language skills with knowledge of medical terminology, anatomy, physiology, coding systems, and guidelines.
  3. Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) from AAPC or AHIMA is preferred.
  4. At least 2 years experience in clinical coding and billing with focus on physician and home health coding.
Technical Requirements
  1. A high-performance computing device with AMD Ryzen 3 3200G APU or Intel Core i5 (7th gen) CPU.
  2. 16GB DDR4 RAM for smooth performance.
  3. A fast SSD storage system with 120 – 480gb capacity.
  4. A noise-canceling headset for clear communication.
  5. 1 – 2 monitors (at least 21in) for efficient work.
  6. Internet speed: 50mbps (Fiber/DSL) for seamless connectivity.
  7. Genuine Windows 10 Licensed Computer for secure operation.


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