Senior Medical Coding Analyst

23 hours ago


Cagayan de Oro, Northern Mindanao, Philippines beBeeCoding Full time ₱50,000 - ₱70,000
Medical Coding Specialist

The Medical Coding Specialist is responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to determine claim denial or covered criteria (clinical content) for an automated claims editing solution.

This role requires a thorough understanding of medical coding systems, including CPT, HCPCS, and ICD-10. The ideal candidate will have experience in researching and analyzing medical documents, as well as providing clinical content support to customers.

Key Responsibilities:

  • Conduct research and identify medical coding and billing documents to determine claim denial or covered criteria.
  • Provide written and oral presentations to obtain consensus on proposed denial criteria.
  • Support the development of clinical content updates into a database.
  • Collaborate with cross-functional teams to ensure accurate and efficient claims processing.

Requirements:

  • Bachelor's Degree in Nursing.
  • Active RN License.
  • AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC).
  • At least 5 years of experience in medical coding, claims denials, and/or chart review/auditing.


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