Medical Coding Specialist

20 hours ago

Caloocan City, National Capital Region, Philippines beBeeCoding Full time $55,000 - $75,000
Job Title: Certified Medical Coder

Job Summary:

Our team is seeking a detail-oriented certified medical coder to review clinical documentation and assign accurate codes for clean claim submission and compliance with payer and regulatory guidelines.

Responsibilities:

  • Review and audit provider documentation for coding accuracy and completeness.
  • Assign or suggest appropriate ICD-10-CM and CPT codes in compliance with CMS and payer guidelines.
  • Communicate with providers for clarification when documentation is unclear or insufficient.
  • Identify documentation gaps, coding trends, and opportunities for provider education or process improvements.
  • Collaborate with billing staff and team leads to resolve coding-related issues.
  • Stay current with coding updates, payer policy changes, and specialty-specific coding rules.
  • Ensure all charts meet compliance standards and support appropriate reimbursement.
  • Contribute to denial prevention by supporting clean claim submission through thorough documentation review.
  • Maintain strict HIPAA compliance and confidentiality in all activities.

Requirements:

  • Certified Professional Coder (CPC) from AAPC (active status required).
  • 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 such as WRSHealth, eClinicalWorks, Athenahealth, Kareo, DrChrono, etc.
  • High attention to detail and strong coding accuracy.
  • Ability to work independently and meet deadlines.
  • Comfortable working graveyard shift (U.S. hours).
  • Stable internet connection.
  • Excellent written and verbal English communication skills.

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.
  • Background in RCM or BPO coding environments.

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