Medical Coding Specialist

2 days ago


San Fernando, Central Luzon, Philippines beBeeCoding Full time ₱60,000 - ₱250,000
Job Summary:

Clean claim submission and compliance with payer and regulatory guidelines require meticulous coding expertise. Review clinical documentation and assign accurate codes for successful reimbursement.

About the Role:
  • Review provider documentation for coding accuracy and completeness, ensuring all charts meet compliance standards.
  • Suggest or assign ICD-10-CM and CPT codes in compliance with CMS and payer guidelines to support proper reimbursement.
  • Communicate with providers when documentation is unclear or insufficient, identifying opportunities for education or process improvements.
  • Collaborate with billing staff to resolve coding-related issues and stay current with coding updates and payer policy changes.
  • Maintain HIPAA compliance and confidentiality in all activities.
Responsibilities:Coding Tasks

Assign or suggest appropriate ICD-10-CM and CPT codes in compliance with CMS and payer guidelines. Ensure all charts meet compliance standards and support appropriate reimbursement.

Documentation Review

Review and audit provider documentation (chart notes) for coding accuracy and completeness, communicating with providers when necessary.

Collaboration

Collaborate with billing staff and team leads to resolve coding-related issues and stay current with coding updates and payer policy changes.

Regulatory Compliance

Maintain strict HIPAA compliance and confidentiality in all activities.

Denial Prevention

Contribute to denial prevention by supporting clean claim submission through thorough documentation review.



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