Senior Clinical Coder
2 weeks ago
- Full-time Position
- Work Set-up: Remote
- Schedule: Day Shift
RESPONSIBILITY:
- Serve as the primary point of contact for clients and internal product teams within the assigned market.
- Act as an individual contributor with the ability to operate independently while providing guidance to a small coding team (2–5 members).
- Conduct code and deliverable reviews to ensure quality and compliance with requirements.
- Perform validations and contribute directly to delivery outputs.
- Assess market-specific assets, rules, benefits, and coding to evaluate feasibility and alignment with business needs.
Domain Knowledge:
- Rules & Benefits Development – Design and maintain FWA detection rules, claims processing logic, and billing schedule frameworks.
- Reference Data Management – Build and validate value sets, concepts, and reference lists to support accurate claims adjudication.
- Data Validation & Review – Perform audits, peer reviews, and quality checks to ensure compliance and data integrity.
- Research & Trend Analysis – Monitor APAC and global guidelines on FWA, coding standards, and industry best practices.
- Team Leadership & Guidance – Mentor and review work of small coding teams (2–5 members); act as market-level point of contact.
- Stakeholder Engagement & Communication – Collaborate with cross-functional teams and provide clear reporting to clients and internal partners
Job Types: Full-time, Permanent
Pay: Up to Php120,000.00 per month
Benefits:
- Company events
- Gym membership
- Health insurance
- Work from home
Experience:
- Medical/Clinical Coding: 7 years (Required)
Work Location: Remote
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