Healthcare Clinical Coding Specialist

5 hours ago


San Fernando, Central Luzon, Philippines beBeeCoding Full time ₱480,000 - ₱600,000
Medical Coding Expert

We are seeking a highly skilled Medical Coding Expert to join our team.

Job Responsibilities:
  • Conduct research and identify relevant medical coding and billing documents to support claim denials and covered criteria for our automated claims editing solution.
  • Develop and present written and oral presentations to medical directors and 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 the database, as required.
  • Resolve issues related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within Lyric business rules.
Requirements:
  • Bachelor's Degree in Nursing is preferred.
  • Must have an active RN (PRC) license.
  • Must be an AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC).
  • At least 5 years of experience in CPT Coding, HCPCS, Medical Billing, Claims Denials, and/or Chart Review/Auditing is required.
  • Previous experience working with US health insurance payers in claims, appeals, or coding capacity is also required.
  • Denial management or claim review management experience is an advantage.
  • Excellent Communication Skills enabling effective communication with all areas of the business.
  • Proficient in MS Office Applications.
  • Amenable to work on night shifts and from home.


  • San Fernando, Central Luzon, Philippines beBeeCoding Full time ₱62,119 - ₱75,123

    Healthcare Coding Specialist OpportunityWe seek a skilled Certified Medical Coding Specialist to deliver accurate coding solutions in a dynamic environment.Review medical records for completeness and accuracyAssign correct ICD-10, CPT, and HCPCS codes aligned with official standardsEvaluate federal, state, and payer-specific regulations for billing and...


  • San Fernando, Central Luzon, Philippines beBeeCoding Full time ₱300,000 - ₱500,000

    Job SummaryWe are seeking a detail-oriented Medical Coding Specialist to join our primary care team. The ideal candidate will have extensive experience in coding for primary care services and a thorough understanding of medical coding guidelines and regulations.Main Responsibilities:Coding diagnoses, procedures, and services using ICD-10, CPT, and HCPCS...


  • San Fernando, Central Luzon, Philippines beBeeCoding Full time ₱3,000,000 - ₱4,000,000

    Job Opportunity: Coding and Medical Records SpecialistEarn a competitive salary with bonuses.Key Responsibilities:Coding and coding auditing services directly to providers.Analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.Requirements:Active RN License.At least 1-2 years clinical...

  • Medical Coding Expert

    8 hours ago


    San Fernando, Central Luzon, Philippines beBeeCoding Full time $60,000 - $80,000

    Job OverviewThis role involves conducting research to identify medical coding and billing documents for our automated claims editing solution. The solution is utilized by medical insurance payers across the United States, with clinical content including diagnosis codes, procedure codes, age minimums & maximums, quantity limitations, place of service...


  • San Fernando, Central Luzon, Philippines beBeeClinical Full time ₱350,000 - ₱469,000

    Healthcare Professional RoleThis position entails reviewing clinical cases that do not meet criteria by conducting a thorough clinical intake and closing them. Additional clinical information may be requested, or the case may be escalated to Medical Directors.Main Responsibilities:Clinical Review Specialists conduct clinical intake and close cases that do...


  • San Fernando, Central Luzon, Philippines beBeeCoder Full time $48,000 - $72,000

    We are seeking a skilled Clinical Data Specialist to join our team.Job DescriptionThe successful candidate will be responsible for accurately assigning diagnosis and procedure codes to patient records using ICD-10-CM, ICD-10-PCS or other designated coding systems in accordance with established guidelines.This is a critical role that requires strong...


  • San Fernando, Central Luzon, Philippines beBeecoder Full time ₱90,000 - ₱121,212

    The Role of the Outpatient Coder is to assign diagnostic and procedural codes to patient charts, of low to moderate complexity, using: ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations.Responsibilities include abstracting clinical and other data elements into the medical...


  • San Fernando, Central Luzon, Philippines beBeeClinical Full time ₱800,000 - ₱1,000,000

    Clinical Outreach ManagerAre you a highly skilled and motivated professional looking for a new challenge? We have an exciting opportunity for a Clinical Outreach Manager to join our team!About the Role:We are seeking a seasoned expert in clinical outreach to develop and execute strategies that drive growth and expansion of our clinical network. The ideal...


  • San Fernando, Central Luzon, Philippines beBeeAnalytics Full time $21,600

    Job Title: Data Insights SpecialistWe are seeking a detail-oriented and analytical professional to support clinical and coding operations through accurate data analysis, enabling our organization to make informed decisions.Key Responsibilities:Analyze clinical data to identify opportunities for accurate HCC coding and RAF optimization.Review patient records,...


  • San Fernando, Central Luzon, Philippines beBeeUtilization Full time ₱50,000 - ₱65,000

    Job OverviewThe Clinical Utilization Review Specialist position offers an exceptional opportunity for a skilled professional to join our remote workforce in a dynamic and rewarding role.Key ResponsibilitiesAn active PHRN and USRN Mainland License is mandatory.A minimum of 1 year of clinical bedside experience, preferably in a hospital setting, is...