Outpatient Surgical Coding Expert

6 hours ago

Quezon City, National Capital Region, Philippines beBeeSurgical Full time ₱800,000 - ₱1,300,000
Healthcare Specialist Position Overview

We are seeking an experienced surgical coding professional to fill a critical role in our healthcare organization. The ideal candidate will bring deep knowledge of outpatient and same-day surgical procedures, coding compliance, and revenue cycle optimization.

Key Responsibilities
  • Assign accurate ICD-10-CM, CPT, and HCPCS codes for Same Day Surgery cases, as well as related outpatient services.
  • Review operative and clinical documentation for coding accuracy and compliance with payer, CMS, and regulatory guidelines.
  • Conduct quality reviews and audits to validate code selection, modifiers, and sequencing.
  • Identify documentation insufficiencies and communicate with providers or leadership to resolve discrepancies.
  • Provide feedback and support to improve coding accuracy across the team.
  • Maintain productivity and quality standards while safeguarding patient confidentiality and regulatory compliance.
  • Collaborate with revenue cycle and compliance teams to support claim resolution and reimbursement optimization.
Required Skills and Qualifications
  • Certification(s): CPC, COC, CCS, COSC, or other AAPC/AHIMA-recognized certifications.
  • Experience: Minimum 5+ years of coding experience, with strong emphasis in Same Day Surgery coding.
  • Demonstrated expertise in multiple surgical specialties.
  • Proven track record in coding audits, education, or leadership roles is a plus.
  • Technical Skills: Proficiency in Epic.
  • Strong understanding of medical terminology, anatomy, physiology, and surgical procedures.
  • Soft Skills: Excellent analytical, problem-solving, and communication abilities.
  • Ability to work independently or in a team setting, with high attention to detail.
  • Strong time-management skills, with capacity to meet deadlines in a fast-paced environment.
Preferred Background
  • Experience coding for both facility and professional fee (pro-fee) Same Day Surgery services.
  • Prior work in quality assurance, education, or management within coding departments.
  • Exposure to multi-specialty coding including Orthopedics, Spine, GI, and OBGYN.

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