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Coding Compliance Expert

1 week ago

Manila, National Capital Region, Philippines Theoria Medical Full time

Work-Life Balance:

We offer a remote work arrangement, allowing you to maintain a healthy work-life balance.

About the Job:

You will support our billing department by accurately reviewing, assigning, and verifying medical codes for various patient services.

Your Key Responsibilities:

  • Review and analyze medical records and documentation to ensure accurate coding.
  • Assign appropriate ICD-10, CPT, and HCPCS codes based on documentation and coding guidelines.
  • Ensure compliance with federal regulations, state laws, and payer requirements.
  • Collaborate with healthcare providers to clarify any discrepancies or obtain additional information.

Requirements:

  • A degree in nursing or a comparable field is required.
  • Certification as a Certified Medical Coder (CPC, CCS, or equivalent) from a recognized accrediting body is essential.
  • A minimum of 2 years' experience in medical coding in a healthcare setting is preferred.
  • Strong knowledge of medical terminology, anatomy, and physiology is required.