Healthcare Specialist

2 days ago


Cagayan de Oro, Northern Mindanao, Philippines beBeeMedicine Full time ₱360,144 - ₱509,024

Medical billing and coding professionals play a vital role in the healthcare industry by ensuring timely and accurate submission of medical claims.

Key Responsibilities
  • Analyze patient records to extract relevant medical information for physician/NP visits and home health start-of-care visits.
  • Assign accurate codes for diagnostic and procedural information using ICD-10, Home Health PDGM, CPT-4, HCPCS, MS-DRGs, APCs, and POAs.
  • Document essential patient data, including medication history, medical history, active diagnoses, and preventive care screens.
  • Consult with healthcare providers to identify potential missing HCC diagnoses and ensure accurate documentation and code assignment.
  • Review claims data for accuracy and completeness.
  • Maintain current knowledge of coding regulations and provide education and training as needed.
  • Collaborate with clinical staff to improve documentation, coding accuracy, and compliance.
Requirements
  • Professional certification such as CPC or CCS-P is required.
  • Background in a medical field and proficiency in English are essential.
  • At least two years of experience in medical coding and billing, with a focus on physician and home health coding, is necessary.


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