Healthcare Medical Coding Expert

17 hours ago

Manila, National Capital Region, Philippines beBeeCoding Full time $55,000 - $65,000
Medical Coding Specialist

We are seeking a highly skilled Medical Coding Specialist with RN and CPC certification to fill this key role. The ideal candidate will have at least 5 years of experience in CPT Coding, HCPCS, Medical Billing, Claims Denials, and/or Chart Review/Auditing.

Key Responsibilities:
  • Research and identify Medicare, Medicaid, and other medical coding and billing documents to determine claim denial or covered criteria for our automated claims editing solution.
  • Collaborate with Medical Director (physicians) and clinical colleagues to obtain consensus on proposed denial criteria through written and oral presentations.
  • Provide clinical content support to customers as needed.
  • Enter data into database for clinical content updates.
Required Skills and Qualifications:
  • Bachelor's Degree in Nursing.
  • Active RN (PRC) License.
  • 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.
  • Strong Communication Skills enabling effective collaboration with all areas of the organization.
Benefits

This is an opportunity to work with a dynamic team and contribute your expertise to our success.

Why This Role Matters:

This role plays a critical part in ensuring the accuracy and efficiency of our medical coding and billing processes.

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