Medical Coding Specialist

2 weeks ago

Imus, Calabarzon, Philippines beBeeClinger Full time $45,000 - $55,000
Job Description

We are seeking a skilled professional to fill the position of Certified Medical Coder. This role involves reviewing clinical documentation and accurately assigning codes to ensure clean claim submission and compliance with payer and regulatory guidelines.

Key Responsibilities:
  • Review and audit provider documentation (chart notes) 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

Required Skills and Qualifications:

Coding Expertise:

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.

Communication Skills:

Excellent written and verbal English communication skills.

Other Requirements:

The ideal candidate should be able to work independently and meet deadlines, be comfortable working graveyard shift, have stable internet connection.

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