Medical Coding Specialist

22 hours ago

Tarlac City, Central Luzon, Philippines beBeeCoder Full time ₱60,000 - ₱250,000
Certified Medical Coder Job Description

The position of Certified Medical Coder is critical to our organization, as it requires a high level of accuracy and attention to detail in order to ensure clean claim submission and compliance with payer and regulatory guidelines.

Responsibilities:
  • Coding Review: The ideal candidate will review and audit provider documentation for coding accuracy and completeness, ensuring that all necessary codes are assigned correctly and that the documentation meets regulatory requirements.
  • Code Assignment: In addition to reviewing documentation, the Certified Medical Coder will assign or suggest appropriate ICD-10-CM and CPT codes in compliance with CMS and payer guidelines, taking into account any relevant medical terminology and anatomy.
  • Communication: The successful candidate will be able to communicate effectively with providers to clarify any unclear or incomplete documentation, ensuring that accurate codes are assigned and that the documentation is complete.
  • Quality Improvement: This role also involves identifying documentation gaps, coding trends, and opportunities for provider education or process improvements, allowing the organization to continuously improve its coding practices.

We are seeking a highly motivated and detail-oriented individual with a strong background in medical coding and analytical skills. A minimum of 2 years' experience in medical coding for U.S.-based providers is required.

Requirements:
  • Certified Professional Coder (CPC) from AAPC (active status required)
  • Strong knowledge of ICD-10-CM and CPT coding systems, including medical terminology, anatomy, and physiology
  • Familiarity with U.S. payer guidelines, NCCI edits, and CMS rules
  • Experience with EMR/EHR systems such as WRSHealth, eClinicalWorks, Athenahealth, Kareo, DrChrono, etc
Preferred Qualifications:
  • Coding experience in specialty areas such as Behavioral Health/Psychiatry, ENT, or Internal Medicine
  • Exposure to denial handling and billing workflows Additional certifications such as CPMA or CRC

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