Healthcare Medical Coding Specialist

3 days ago

Taguig, National Capital Region, Philippines beBeeCoding Full time ₱7,000 - ₱8,000
Medical Coding Specialist

Are you a detail-oriented professional with expertise in medical coding and billing?

We are seeking a skilled Medical Coding Specialist to join our team. As a key member of our team, you will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria.

Responsibilities:

  • Conduct research and identify medical coding and billing documents to determine claim denial or covered criteria.
  • Provide written and oral presentations to physicians and other clinical colleagues to obtain consensus on proposed denial criteria.
  • Provide clinical content support to customers as needed.
  • Perform data entry of clinical content updates into database, as needed.
  • Solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within business rules.

Requirements:

  • Bachelor's Degree in Nursing or related field.
  • Active RN (PRC) License.
  • AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC).
  • At least 5 years of experience in areas of CPT Coding, HCPCS, Medical Billing, Claims Denials and/or Chart Review/Auditing.
  • Previous experience working with US health insurance payers in claims, appeals or coding capacity.
  • Experience in denial management or claim review management is an advantage.
  • Excellent Communication Skills enabling effective communication with all areas of the business.
  • Proficient in using MS Office Applications.
  • Amenable to Work on Night Shift and Work From Home Set-up.

What We Offer:

  • Opportunity to work with a dynamic team.
  • Professional growth and development opportunities.
  • A competitive compensation package.
  • A flexible work environment.

How to Apply:

If you are a motivated and detail-oriented individual who is passionate about medical coding and billing, we encourage you to apply for this exciting opportunity.

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Administrative

Outsourcing and Offshoring Consulting

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