Medical Coder

3 hours ago

Quezon City, National Capital Region, Philippines PMConsulting Full time ₱720,000 - ₱1,080,000 per year
  • We are seeking a highly skilled and certified Medical Coder with experience in Profee (Professional Fee) and/or SDS (Same Day Surgery) medical coding. The ideal candidate will ensure accurate assignment of CPT, ICD-10, and HCPCS codes in compliance with official coding guidelines, payer policies, and regulatory standards to optimize reimbursement and maintain data integrity.

Key Responsibilities:

  • Review and analyze medical records, operative notes, and provider documentation to accurately assign appropriate CPT, ICD-10-CM, and HCPCS codes for Profee and/or SDS encounters.
  • Ensure coding compliance with CPT, ICD-10, and payer-specific guidelines as well as federal regulations (CMS, OIG).
  • Perform coding audits to validate accuracy, identify discrepancies, and recommend process improvements.
  • Work closely with physicians, clinical staff, and billing teams to resolve coding-related queries and documentation gaps.
  • Maintain productivity and quality standards, meeting daily/weekly coding quotas and accuracy benchmarks.
  • Keep up to date with industry coding updates, payer requirements, and regulatory changes.
  • Protect patient privacy and confidentiality in accordance with HIPAA and organizational policies.

Qualifications:

  • Active coding certification required: CPC (Certified Professional Coder) and/or CCS (Certified Coding Specialist).
  • Minimum 1–2 years of medical coding experience, with a focus on Profee and/or SDS coding.
  • Strong knowledge of CPT, ICD-10-CM, HCPCS, and medical terminology.
  • Familiarity with EMR/EHR systems and coding software (e.g., Epic, 3M, Cerner).
  • Ability to interpret clinical documentation and apply coding guidelines accurately.
  • Excellent analytical, organizational, and time-management skills.
  • High attention to detail and commitment to accuracy.

Preferred Skills:

  • Experience in multi-specialty coding (e.g., surgery, radiology, cardiology) is a plus.
  • Knowledge of payer-specific reimbursement rules, Medicare/Medicaid guidelines, and risk adjustment coding.
  • Strong communication and collaboration skills for provider interaction and team coordination.

Job Types: Full-time, Permanent

Pay: Up to Php90,000.00 per month

Benefits:

  • Health insurance
  • Life insurance
  • Paid training

Education:

  • Bachelor's (Required)

Experience:

  • Inpatient Coding (IP): 1 year (Preferred)
  • SDS: 1 year (Preferred)
  • Profee Coding: 1 year (Preferred)

License/Certification:

  • CPC/CCS (Required)

Work Location: In person

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