Certified Clinical Coding Specialist

2 days ago

Marikina City, National Capital Region, Philippines beBeeCoder Full time ₱60,000 - ₱250,000
About the Role

We are seeking a detail-oriented and highly motivated Certified Medical Coder to join our team. As a key member of our medical coding team, you will be responsible for reviewing clinical documentation, accurately assigning codes, and ensuring compliance with payer and regulatory guidelines.

Job Duties and Responsibilities:
  • Review and audit provider documentation (chart notes) 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
  • Maintain strict HIPAA compliance and confidentiality in all activities

Key Requirements:

  • 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
Preferred Qualifications
  • Coding experience in specialty areas such as Behavioral Health/Psychiatry, ENT, or Internal Medicine
  • Exposure to denial handling and billing workflows Additional certifications such as CPMA or CRC
  • Background in RCM or BPO coding environments

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