Medical Coding Specialist

2 days ago

Bacoor, Calabarzon, Philippines beBeeCoder Full time ₱60,000 - ₱250,000

Role Overview

A highly skilled Certified Medical Coder is required to review and assign accurate codes for clinical documentation, ensuring clean claim submission and compliance with payer and regulatory guidelines.

The ideal candidate will have strong coding expertise, analytical skills, and problem-solving abilities to support a dynamic team.

  • Coding Accuracy: Review provider documentation (chart notes) for accuracy and completeness.
  • Coding Compliance: Assign or suggest appropriate ICD-10-CM and CPT codes in accordance with CMS and payer guidelines.
  • Communication: Clarify documentation discrepancies with providers when necessary.
  • Documentation Review: Identify gaps, trends, and opportunities for provider education or process improvements.
  • Collaboration: Work with billing staff and team leads to resolve coding-related issues.
  • Coding Updates: Stay current with coding updates, payer policy changes, and specialty-specific coding rules.
  • Compliance Standards: Ensure charts meet compliance standards and support appropriate reimbursement.
  • Denial Prevention: Contribute to denial prevention through thorough documentation review.
  • Confidentiality: Maintain HIPAA compliance and confidentiality.

Requirements

  • Certification: Certified Professional Coder (CPC) from AAPC (active status required).
  • Experience: Minimum 2 years' experience in medical coding for U.S.-based providers.
  • Coding Knowledge: Strong knowledge of ICD-10-CM and CPT coding systems, solid understanding of medical terminology, anatomy, and physiology.
  • Payer Guidelines: Familiarity with U.S. payer guidelines, NCCI edits, and CMS rules.
  • EMR Experience: Experience with EMR/EHR systems such as WRSHealth, eClinicalWorks, Athenahealth, Kareo, DrChrono, etc.
  • Attention to Detail: High attention to detail and strong coding accuracy.
  • Work Habits: Ability to work independently and meet deadlines.
  • Shift Work: Comfortable working graveyard shift (U.S. hours).
  • Internet Connection: Stable internet connection.
  • Communication Skills: Excellent written and verbal English communication skills.

Preferred Qualifications

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

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