Medical Coding Specialist

5 days ago


Manila, National Capital Region, Philippines COTIVITI Philippines Full time
Clinical Analysis Role Overview

This is an exciting opportunity to join our team as a Clinical Analyst, where you will utilize your clinical knowledge and coding skills to ensure accurate reimbursement.

You will be responsible for analyzing medical data, interpreting coding guidelines, and assigning appropriate codes for medical procedures and diagnoses.

Required Skills and Qualifications:

  • 1 year of experience in E/M denial medical coding/US healthcare claims processing with excellent clinical knowledge.
  • Registered Nurse with CPC/COC certification.
  • Experience in US Healthcare, medical coding, medical billing, RCM health plan operations.
  • Possesses knowledge of healthcare claims payment policy and processing – specifically CMS, Medicaid regulations, AAOS, ICD-9, CPT & HCPCS, etc.
  • Practical clinical experience working in a hospital/office or nursing home.


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