Healthcare Revenue Cycle Specialist

3 days ago

Mandaue City, Central Visayas, Philippines beBeeMedicalCoding Full time $45,000 - $67,000

A medical coder and biller plays a crucial role in healthcare revenue cycle management, ensuring timely and accurate submission of medical claims.

Job Responsibilities:
  • Analyze patient records to extract relevant information for coding purposes.
  • Coding compliance is maintained through adherence to ICD-10, CPT-4, HCPCS, and other national guidelines.
  • Patient information including medication history, diagnoses, and preventive care is documented accurately.
  • Medical providers are consulted to identify potential missing HCC diagnoses and ensure accurate documentation and code assignment.
  • Claims data is reviewed to verify accurate coding and billing for all services and procedures.
  • Collaboration with healthcare professionals ensures improvement in documentation, coding accuracy, and compliance.
  • Changes in coding regulations are monitored and education provided as needed.
  • Quality Assurance/Quality Improvement initiatives are actively participated in.
  • The Clinical Director is assisted in developing key performance indicators related to coding accuracy and compliance.
  • Effective communication is maintained with clinical staff, insurance plans, and hospital systems.
  • Billing and credentialing tasks are assisted with as needed.
  • Patient confidentiality and data safeguarding are ensured at all times.
Requirements:
  • Background in a medical field.
  • Proficient in the English language, written and verbal.
  • Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) from AAPC or AHIMA is preferred.
  • At least 2 years experience in medical coding and billing, focusing on physician and home health coding.
  • Knowledge of anatomy, physiology, and medical terminology.
  • Strong analytical skills and attention to detail.
  • Proficiency in coding software, tools, and EHR systems.
  • Knowledge of regulatory requirements and compliance standards.
  • Excellent communication skills for collaboration with healthcare professionals.

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