Chief Medical Records Analyst

2 days ago

Manila, National Capital Region, Philippines beBeeMedicalCoder Full time ₱60,000 - ₱90,000
Job Overview

We are seeking an experienced Medical Coder to join our team. As a Medical Coder, you will play a critical role in ensuring accurate and timely submission of medical claims.

Responsibilities
  • Analyze and abstract medical information from patient records for physician/NP visits and home health start-of-care visits.
  • Accurately code diagnostic and procedural information in compliance with ICD-10, Home Health PDGM, CPT-4, HCPCS, MS-DRGs, APCs, and POAs, following national coding guidelines.
  • Document essential patient information, including medication history, medical history, active diagnoses, and preventive care screens.
  • Consult with medical providers to identify potential missing HCC diagnoses and ensure accurate documentation and code assignment.
  • Review claims data to verify accurate coding and billing for all services and procedures.
  • Collaborate with healthcare professionals to improve documentation, coding accuracy, and compliance.
  • Stay current with changes in coding regulations and provide education and training as needed.
  • Participate in Quality Assurance/Quality Improvement initiatives.
  • Assist the Clinical Director in developing and achieving key performance indicators related to coding accuracy and compliance.
  • Develop and maintain effective communication with clinical staff, insurance plans, and hospital systems.
  • Assist with billing and credentialing tasks as needed.
  • Maintain confidentiality and safeguard patient information.
Requirements
  • Background in a medical field.
  • Proficient in the English language, both written and verbal.
  • Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) from AAPC or AHIMA (preferred, not required).
  • At least 2 years of experience in medical coding and billing, with a focus on physician and home health coding.
  • Knowledge of medical terminology, anatomy, physiology, coding systems, and guidelines (ICD-10, CPT-4, HCPCS).
  • Strong analytical skills and attention to detail.
  • Proficiency with coding software, tools, and EHR systems.
  • Knowledge of regulatory requirements and compliance standards.
  • Excellent communication skills and ability to collaborate with healthcare professionals.
Benefits

This is an excellent opportunity to work in a dynamic environment and contribute to the success of our organization.

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