Medical Coding Specialist

21 hours ago


Mandaluyong City, National Capital Region, Philippines beBeeCoder Full time ₱60,000 - ₱250,000
Medical Coding Specialist

We are seeking a highly motivated and detail-oriented 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.

Key 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
  • Ensure all charts meet compliance standards and support appropriate reimbursement
  • Contribute to denial prevention by supporting clean claim submission through thorough documentation review
Required Skills and Qualifications

We require the following skills and qualifications:

  • 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
  • Solid understanding of medical terminology, anatomy, and physiology
  • Familiarity with U.S. payer guidelines, NCCI edits, and CMS rules
  • Experience with EMR/EHR systems such as WRSHealth, eClinicalWorks, Athenahealth, Kareo, DrChrono, etc
  • High attention to detail and strong coding accuracy
  • Ability to work independently and meet deadlines
  • Comfortable working graveyard shift (U.S. hours)
  • Stable internet connection
  • Excellent written and verbal English communication skills
Benefits

This role offers excellent career growth opportunities and a stable work environment. Our ideal candidate will be comfortable working in a fast-paced environment and will have strong problem-solving skills.

Preferred Qualifications

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 is also beneficial. Additional certifications such as CPMA or CRC are also advantageous.



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