PHRN Medical Coder
3 hours ago
Key Responsibilities
- Review and analyze inpatient medical records to identify diagnoses, procedures, and relevant clinical documentation.
- Assign accurate and compliant ICD-10-CM and ICD-10-PCS codes for inpatient services.
- Apply official coding guidelines, payer-specific rules, and facility-specific policies.
- Ensure coding accuracy to support quality reporting, reimbursement, and compliance.
- Collaborate with providers and clinical documentation specialists to clarify ambiguous or incomplete documentation.
- Maintain productivity and quality standards established by the department.
- Stay up to date with changes in coding regulations, payer policies, and industry updates.
- Participate in continuing education, audits, and improvement initiatives as required.
Required Qualifications
- At least 3 years of medical coding experience in a BPO setting. Either OP or IP coding.
- Valid and active PRC license
- Valid and active CPC or CIC license/certification
- Comprehensive knowledge of ICD-10-CM/PCS coding systems and inpatient coding guidelines.
- Strong understanding of DRG assignment and reimbursement methodology.
- Proficiency in EHR systems and coding software tools.
- High attention to detail, strong analytical skills, and adherence to compliance standards.
Preferred Qualifications
- Strong communication skills and the ability to work both independently and collaboratively.
Physical Requirements
- Ability to work at a computer workstation for extended periods.
- Ability to meet standard productivity and quality metrics.
Job Types: Full-time, Permanent
Pay: Up to Php50,000.00 per month
Benefits:
- Company Christmas gift
- Company events
- Health insurance
- Opportunities for promotion
- Paid training
- Pay raise
- Work from home
Application Question(s):
- How many years of Medical Coding experience do you have in total?
Education:
- Bachelor's (Required)
Experience:
- Medical Coding: 3 years (Required)
License/Certification:
- PHRN PRC license (Required)
- CPC/CIC/CCS certification/license (Required)
Work Location: Remote
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