Medical Coder

2 days ago

Taguig, National Capital Region, Philippines MicroSourcing Full time

Discover your 100% YOU with MicroSourcing
Position:
Medical Content Analyst

Location:
GSC Tower, BGC, Taguig City

Work Set-up & Shift:
Work From Home and Night Shift

Position Summary
The
Medical Content Analyst
will be responsible in conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution.

This solution is utilized by medical insurance payers across the United States. The clinical content could include additions, deletions or updates to diagnosis codes, procedure codes, age minimums & maximums, quantity limitations, place of service limitations and other clinical content criteria.

Duties And Responsibilities

  • Research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution.
  • Provide written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain consensus on proposed denial criteria.
  • Provide clinical content support to our customers as needed
  • Perform data entry of clinical content updates into database, as needed
  • Solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within Lyric business rules.

Required Qualifications

  • Bachelor's Degree in Nursing or or graduate of a related medical field.
  • Must have an Active RN (PRC) License.
  • Must be an AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC).
  • At least 3 years of experience in the areas of CPT Coding, HCPCS, Medical Billing, Claims Denials and/or Chart Review/Auditing are required.
  • Previous experience working with US health insurance payers in a claims, appeals or coding capacity is also required.
  • Experience in denial management or claim review management is a plus/advantage.
  • Excellent Communication Skills (verbal and written) enabling effective communication with all areas of the business.
  • Proficient in using MS Office Applications.
  • Amenable to Work on Night Shift.
  • Amenable to Work From Home Set-Up.

About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%

For more information, visit

  • Terms & conditions apply

  • Medical Coder

    2 weeks ago

    Taguig, National Capital Region, Philippines JPRecruits Full time

    Qualifications:PHRN (Philippine Registered Nurse) - licensed medical coderAt least 1 year of experience in: Claims configuration, denial management and outpatient coding.ED Facility (Emergency Department) coding, E/M (Emergency Department) codingAt least 1 year of experience in: Claims configuration, denial management, outpatient codingCertifications:CPC...

  • Medical Coder

    1 week ago

    Taguig, National Capital Region, Philippines MicroSourcing Full time

    Discover your 100% YOU with MicroSourcingPosition:Licensed Medical Coder (In-Patient)Location:Metro ManilaWork setup & shift:WFH | Night shiftWhy join MicroSourcing?You'll HaveCompetitive Rewards: Enjoy above-market compensation, healthcare coverage on day one (plus one or more dependents), paid time-off with cash conversion, group life insurance, and...

  • Medical Coder

    1 week ago

    Taguig, National Capital Region, Philippines MicroSourcing Full time

    Discover your 100% YOU with MicroSourcingPosition:Medical Coder (Out-Patient)Location:Metro ManilaWork setup & shift:Onsite | Night shiftWhy join MicroSourcing?You'll HaveCompetitive Rewards: Enjoy above-market compensation, healthcare coverage on day one (plus one or more dependents), paid time-off with cash conversion, group life insurance, and performance...

  • In-Patient Medical Coder

    1 week ago

    Taguig, National Capital Region, Philippines HCM Nexus Full time

    Job Summary:We are seeking a detail-oriented and experienced In-Patient Medical Coder to support accurate and compliant coding of inpatient medical records. The role involves reviewing clinical documentation and assigning appropriate diagnosis and procedure codes to ensure timely and accurate billing processes. The ideal candidate has a strong command of...

  • Out-Patient Medical Coder

    1 week ago

    Taguig, National Capital Region, Philippines HCM Nexus Full time

    Job Summary:We are hiring a skilled and reliable Out-Patient Medical Coder to ensure accurate and compliant coding of outpatient medical records. This role involves reviewing clinical documentation and applying appropriate CPT, HCPCS, and ICD-10-CM codes across a variety of outpatient settings and specialties. The successful candidate will demonstrate solid...

  • USRN – Medical Coder

    1 week ago

    Taguig, National Capital Region, Philippines Carelon Global Solutions Full time

    Position Title: DRG Clinical Validation AuditorUSRN with at least 2 years of bedside experienceCandidates must have 1-2 years of hospital coding

  • Conifer - Outpatient Medical Coder

    1 week ago

    Taguig, National Capital Region, Philippines Conifer Health Solutions Full time

    Job Description:The OP Coder is responsible for assigning diagnostic and procedural codes (outpatient surgery, observation, infusion services, and interventional procedure records) to patient charts, of moderate to high complexity, using: ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and...

  • Medical Coding Academy

    1 week ago

    Taguig, National Capital Region, Philippines Tenet Healthcare Full time

    We are hiring outpatient medical coders who are ready to advance their careers by training in inpatient medical coding through our Coding University.Qualifications:AHIMA/AAPC certification for Outpatient Medical Coding (e.g., COC, CPC,CCS)Amenable to work onsite in BGC Taguig (Dayshift, Weekends Off)What's in it for you?Competitive Salary Package.We have a...

  • Inpatient Medical Coder

    2 weeks ago

    Taguig, National Capital Region, Philippines R1 Full time $50,000 - $100,000 per year

    Qualifications:Medical Allied Course GraduateWith at least 2 Years of Inpatient Coding ExperienceMust have an active Medical Coding Certification (CIC/CCS/CPC)Experience in any EMR systems such as Epic, Cerner & Meditech Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has...

  • Medical Coding Manager

    2 days ago

    Taguig, National Capital Region, Philippines MicroSourcing Full time

    Discover your 100% YOU with MicroSourcingPosition: Medical Coding Manager - InpatientLocation: TaguigWork setup & shift: Onsite | Night shiftWhy join MicroSourcing?You'll have:Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and...