Medical Records Analyst

2 weeks ago


Manila, National Capital Region, Philippines Addmore Outsourcing Inc. Full time

At Addmore Outsourcing Inc., we are seeking a skilled Healthcare Coding Specialist to manage patient billing and coding processes.

Key Responsibilities:

  • Coding and Billing: Assign accurate ICD-10, CPT, and HCPCS codes to patient diagnoses and procedures, ensuring compliance with current regulations and guidelines.
  • Insurance Claims: Prepare and submit insurance claims, addressing and resolving any issues related to claims rejections or denials, and monitoring the status of submitted claims.
  • Financial Management: Generate and review patient statements, process payments, and handle billing inquiries, providing clear explanations of charges to patients.
  • Document Review: Review and verify medical records and documentation to ensure accuracy and completeness, ensuring all documentation meets regulatory and compliance standards.
  • Professional Development: Stay updated on changes in coding and billing regulations, payer policies, and industry best practices, and participate in ongoing training and professional development to maintain certification and stay current with industry changes.

Qualifications:

  • Certification in medical billing and coding is required.
  • Proven experience in medical billing and coding, with a strong understanding of ICD-10, CPT, and HCPCS coding systems.
  • Familiarity with electronic health record systems and medical billing software.
  • Excellent attention to detail and organizational skills.
  • Strong analytical and problem-solving abilities.
  • Knowledge of healthcare regulations, compliance, and payer requirements.
  • Ability to work independently and manage multiple tasks in a fast-paced environment.

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