Medical Coding Specialist

4 days ago

Quezon City, National Capital Region, Philippines Sourcefit Full time ₱144,000 - ₱600,000 per year
Position Summary

The Medical Coding Specialist ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately.

Job Details:

  • Work from Home
  • Monday to Friday | 7:00 PM to 4:00 AM Manila Time
  • *US Holidays will be followed

Responsibilities:

  • Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
  • Collect health information as documented by medical specialists and code them appropriately.
  • Consult medical specialists for further clarification and understanding of items on patient charts to avoid any misinterpretations.
  • Ensure that codes tally with doctors' diagnosis.
  • Evaluate and re-file appeals of patient claims that were denied.
  • Be updated about new coding rules as codes change from time to time.
  • Collect and distribute coding-related information and billing issues.
  • Provide accurate answers to queries on coding.
  • Other duties as assigned by management.

Qualifications:

  • Must have at least 3-5 years of billing and/or coding experience in a medical environment.
  • Comprehensive knowledge of insurance plans, member eligibility, insurance billing, and medical coding.
  • Strong background in both government and commercial payers.
  • Understanding of CPT, ICD-10, UB, HCFA, and 837 terminologies.
  • Excellent interpersonal and customer service skills.
  • Detail-oriented.
  • Strong problem-solving and research skills.
  • Excellent math, verbal, and communication skills.
  • Computer proficiency.

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