Senior Clinical Coding Specialist

5 days ago

Manila, National Capital Region, Philippines beBeeClinical Full time $70,000 - $90,000
Job Title: Senior Clinical Coding Analyst

We are seeking an experienced and detail-oriented Senior Clinical Coding Analyst to join our team. This individual will be responsible for analyzing and validating clinical codes used in revenue cycle processes.

Key Responsibilities:

  • Analyze and evaluate clinical codes used in revenue cycle, including diagnosis codes (ICD-10-CM), procedure codes (CPT/HCPCS) and related modifiers.
  • Conduct regular audits of coded medical records, ensuring accuracy, completeness and compliance with relevant coding guidelines, industry standards and regulations.
  • Identify coding discrepancies, documentation deficiencies and areas for improvement in the coding and revenue cycle processes.
  • Collaborate with coding teams, healthcare providers and revenue cycle stakeholders to resolve coding-related issues and ensure accurate code assignment.
  • Develop and implement coding quality initiatives, including education and training programs, to enhance coding accuracy, compliance and productivity.
  • Stay up-to-date with the latest changes in coding guidelines, regulations and industry best practices and ensure timely implementation of necessary updates within the organization.
  • Provide guidance and mentorship to coding staff, assisting in the resolution of complex coding cases and promoting professional development.
  • Generate regular reports and metrics related to coding quality, productivity and compliance, highlighting areas of concern and recommending actionable improvements.

Qualifications:

  • Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or similar certification is required.
  • Experience: Minimum of 2-3 years of medical coding or auditing experience and experience with risk adjustment audits, clinical documentation improvement (CDI) and payer audits.
  • Knowledge of Coding Systems: Strong knowledge of ICD-10, CPT and HCPCS coding systems and familiarity with DRG, E/M coding.
  • Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field.
  • Proficient in using coding software, encoders and electronic health record (EHR) systems.

Benefits:

This role offers a dynamic work environment, opportunities for growth and professional development, and a competitive compensation package.

How to Apply:

If you are a motivated and detail-oriented individual with a passion for coding and revenue cycle management, please submit your application for this exciting opportunity.

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