Medical Coder

7 days ago

Eastwood Quezon City, Philippines Intelassist Full time ₱550,000 - ₱850,000 per year

EOR: One Workforce Global
Employment Type: Full-time Employment
Work Setup: 100% Onsite
Location: Eastwood, Libis, Quezon City
Work Schedule: Night Shift (Following Eastern U.S Time Zone - With the possibility of working a day shift after training)
Salary Package: To be discussed during Job Offer

Position Overview

The Cardiac Diagnostics Professional Coder is responsible for reviewing clinical documentation and accurately assigning ICD-10-CM and CPT/HCPCS codes for non-invasive cardiac diagnostic procedures. This position focuses on coding for services such as EKGs, echocardiograms, cardiac stress tests, and Holter monitors. The coder ensures proper use of modifiers, adherence to payer guidelines, and compliance with coding and regulatory requirements for professional (physician) claims.

Responsibilities:

  • Review provider documentation and assign appropriate ICD-10-CM codes for cardiac diagnostic procedures, including:
    • Electrocardiograms (EKGs/ECGs)
    • Echocardiograms (ECHOs)
    • Cardiac stress tests
    • Holter monitors
  • Apply correct CPT and HCPCS codes for services rendered, following professional coding guidelines.
  • Assign correct modifiers in accordance with payer requirements and Correct Coding Initiative (CCI) edits.

Documentation Review

  • Analyze medical records to ensure all procedures are accurately documented and supported by clinical indications.

Coding Compliance

  • Adhere to current ICD-10-CM, CPT, and HCPCS coding guidelines.
  • Follow Medicare, Medicaid, and commercial payer rules, including local coverage determinations (LCDs).

Charge Capture and Reconciliation

  • Accurately capture all professional services performed and ensure proper linkage between diagnoses and procedures.

Audit Support and Quality Assurance

  • Participate in internal and external coding audits.
  • Address and correct coding discrepancies as needed.
  • Maintain high levels of coding accuracy and meet or exceed departmental benchmarks.

Job Requirements:

  • Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), or equivalent credential required
  • Minimum 2 years of professional coding experience, preferably in cardiology or diagnostic services
  • Strong knowledge of ICD-10-CM, CPT, HCPCS, and professional claim modifiers
  • Familiarity with CMS guidelines, payer-specific requirements, and NCCI edits
  • Proficiency with electronic health records (EHRs), coding tools, and encoders
  • Excellent attention to detail, organizational, and analytical skills
  • Effective communication and provider query skills

WHY INTELASSIST?
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