Clinical Content Expert

1 day ago

Las Piñas, National Capital Region, Philippines beBeeCoding Full time ₱600,000 - ₱800,000
Medical Coding Specialist Role

We are seeking a highly skilled Medical Coding Specialist to join our team. As a key member of our staff, you will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to determine claim denial or covered criteria for our automated claims editing solution.

The Medical Coding Specialist will provide written and oral presentations to medical directors and other clinical colleagues to obtain consensus on proposed denial criteria. Additionally, they will provide clinical content support to our customers as needed and perform data entry of clinical content updates into our database.

  • Conduct research and identify Medicare, Medicaid, and other medical coding and billing documents to determine claim denial or covered criteria for our automated claims editing solution.
  • Provide written and oral presentations to medical directors and other clinical colleagues to obtain consensus on proposed denial criteria.
  • Provide clinical content support to our customers as needed.
  • Perform data entry of clinical content updates into our database.
Required Skills and Qualifications
  • Bachelor's degree in nursing with an active RN license.
  • AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC).
  • At least 5 years of experience in CPT coding, HCPCS, medical billing, claims denials, and/or chart review/auditing.
  • Previous experience working with US health insurance payers in a claims, appeals, or coding capacity.
  • Excellent communication skills, enabling effective communication with all areas of the business.
  • Proficient in using MS Office applications.
About Our Company

We are a global provider of managed services with a commitment to inclusivity and growth opportunities for all team members. We celebrate authentic selves and strive to foster a culture that values diversity and individuality.

Our company has a long history of providing high-quality services to clients across the globe. We take pride in our commitment to excellence and our dedication to delivering exceptional results.

We are an equal opportunities employer and welcome applications from qualified candidates who share our values and vision.

Benefits include:

  • Competitive salary and benefits package.
  • Ongoing training and professional development opportunities.
  • Flexible working arrangements to suit your needs.
  • Opportunities for career advancement and growth.
Contact Information

For more information, please contact us at [insert contact information].

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