Clinical Data Specialist

3 days ago

Quezon City, National Capital Region, Philippines beBeeClinicalData Full time ₱60,000 - ₱250,000
Clinical Data Specialist

We are seeking a meticulous and analytical Clinical Data Specialist to review medical documentation, assign accurate codes, and ensure compliance with regulatory guidelines.

Job Description:

The successful candidate will be responsible for:

  • Reviewing and auditing provider documentation for coding accuracy and completeness
  • Assigning or suggesting appropriate ICD-10-CM and CPT codes in compliance with CMS and payer guidelines
  • Communicating with providers for clarification when documentation is unclear or insufficient
  • Identifying documentation gaps, coding trends, and opportunities for provider education or process improvements
  • Collaborating with billing staff and team leads to resolve coding-related issues
  • Maintaining strict HIPAA compliance and confidentiality in all activities
Requirements:

To be considered for this role, applicants must possess:

  • A Certified Professional Coder (CPC) certification from the American Academy of Professional Coders (AAPC)
  • A minimum of 2 years' experience in medical coding for U.S.-based providers
  • Strong knowledge of ICD-10-CM and CPT coding systems
  • Solid understanding of medical terminology, anatomy, and physiology
  • Familiarity with U.S. payer guidelines, NCCI edits, and CMS rules
  • Experience with EMR/EHR systems
  • High attention to detail and strong coding accuracy
  • Ability to work independently and meet deadlines
Benefits:

This role offers a unique opportunity to work remotely and enjoy a stable internet connection. The ideal candidate will also have excellent written and verbal communication skills.

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