
Medical Coding Specialist
3 days ago
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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