Healthcare Coding Expert

2 days ago

Calamba, Calabarzon, Philippines beBeeCoding Full time ₱60,000 - ₱84,000
Job Title:

Medical Coding Specialist

Job Summary:

We are seeking a skilled Medical Coding Specialist to join our team. The ideal candidate will have experience in medical coding and billing, with a strong understanding of ICD-10-CM and CPT coding guidelines.

Responsibilities:
  • Conduct research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content).
  • Provide written and oral presentations to obtain consensus on proposed denial criteria.
  • Perform data entry of clinical content updates into database.
  • Solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within Lyric business rules.
Requirements:
  • Bachelor's Degree in Nursing.
  • Active RN (PRC) License.
  • Must be an 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 claims, appeals, or coding capacity is required.
  • Experience in denial management or claim review management is a plus.
  • Excellent Communication Skills enabling effective communication with all areas of the business.
  • Proficient in using MS Office Applications.
  • Amenable to Work on Night Shift.
  • Amenable to Work From Home Set-Up.
Benefits:

This role offers excellent compensation and benefits package including competitive salary, comprehensive health insurance, retirement plan, paid time off, and career growth opportunities.

Work Environment:

The Medical Coding Specialist will work in a dynamic team environment, utilizing state-of-the-art technology to deliver high-quality patient care services.

Why Join Us?

We are committed to creating a culture of excellence, innovation, and collaboration. As a member of our team, you will have the opportunity to contribute to meaningful projects, develop your skills, and advance your career in a supportive and inclusive environment.

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