Virtual Medical Assistant – Biller and Coder

6 days ago

Philippines NORTHBROOK PSYCHOLOGICAL CLINIC Full time ₱13,200 per year

Job Summary:

We are looking for a Certified Medical Coder and Experienced Medical Biller with expertise in assigning CPT, HCPCS, and ICD-10 codes for professional and/or facility claims, submitting medical claims, and completing follow-up and denial resolution. This role ensures accuracy, compliance, and timely and maximized reimbursement.

Responsibilities:

· Assign CPT, HCPCS, and ICD-10 codes and modifier to provider documentation

· Review medical charts and notes for coding accuracy

· Ensure coding supports medical necessity and payer guidelines

· Apply appropriate modifiers for billing compliance

· Conduct coding audits to reduce risk of denials

· Correct and resubmit claims denied for coding issues

· Stay updated on ICD-10, CPT, and payer coding updates

· Query providers for documentation clarification

· Enter charges into the billing system using provided coding

· Prepare and submit clean claims (electronic and paper) to insurance payers

· Monitor clearinghouse rejections and correct errors

· Verify insurance eligibility and obtain required authorizations before claim submission

· Review payer remittance advice for denial reasons

· Correct and resubmit denied or rejected claims

· Ensure claims meet payer compliance and submission requirements

· Communicate with providers regarding missing or incomplete claim details

Qualifications:

· CPC, CCS, or equivalent certification required.

· 2+ years of coding experience in a healthcare setting.

· 2+ years of experience in medical billing or RCM.

· Knowledge of payer rules, LCD/NCDs, and medical necessity.

· Strong analytical and documentation review skills.

· Knowledge of CPT, ICD-10, and HCPCS codes.

· Familiarity with clearinghouses and payer portals.

· Strong problem-solving and follow-up skills.

Compensation

$1,100 USD per Month

Full Time, Direct Hire

Job Types: Full-time, Permanent

Work Location: Remote

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