Outpatient Medical coder

24 hours ago

Manila, National Capital Region, Philippines T3Cogno Full time $40,000 - $80,000 per year

Job Summary:

This is Work from Office

Registered nurse should apply

We are seeking a detail-oriented and experienced
Outpatient Medical Coder (OP Coder)
to accurately review and assign ICD-10-CM, CPT, and HCPCS codes for outpatient medical records. The ideal candidate will ensure coding compliance with federal regulations and payer-specific guidelines to optimize reimbursement and support quality reporting initiatives.

Key Responsibilities:

  • Review clinical documentation to assign appropriate diagnostic (ICD-10-CM) and procedural (CPT/HCPCS) codes for outpatient services.
  • Ensure coding accuracy, completeness, and compliance with official coding guidelines, payer requirements, and organizational policies.
  • Work collaboratively with providers and clinical staff to clarify documentation and improve coding accuracy.
  • Abstract key information from medical records for statistical and billing purposes.
  • Stay current with coding updates, regulatory changes, and payer-specific guidelines.
  • Meet productivity and quality standards as defined by the department.
  • Utilize EHR and coding systems such as EPIC, Cerner, 3M, or equivalent.
  • Participate in audits and assist with resolving coding-related denials.

Qualifications:

  • High school diploma or equivalent (required); associate's or bachelor's degree in Health Information Management or related field (preferred).
  • Certification Required:
    CPC, CCS, RHIT, or RHIA.
  • Minimum of 1–2 years of outpatient coding experience (preferably in a hospital or large clinic setting).
  • Strong knowledge of outpatient coding guidelines, including CPT, HCPCS, and ICD-10-CM.
  • Familiarity with NCCI edits, Medicare billing rules, and outpatient reimbursement methodologies.
  • Excellent attention to detail and analytical skills.
  • Strong organizational and time management skills.

Preferred Experience:

  • Experience coding for specialty clinics such as orthopedics, cardiology, or radiology.
  • Knowledge of outpatient prospective payment systems (OP

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