Medical Coders

6 days ago

Pasay, National Capital Region, Philippines Private Advertiser Full time $60,000 - $80,000 per year

We are currently seeking Medical Coders who are skilled, certified, and motivated to work in a dynamic and fast-paced environment. If you have strong knowledge of coding systems and a passion for precision, we'd love to hear from you

As a Medical Coder, you will be responsible for reviewing and accurately translating healthcare diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes (ICD-10, CPT, HCPCS). Your role ensures that claims are processed accurately and meet all regulatory and compliance requirements.

Qualifications & Skills

  • Certification from AAPC or AHIMA
  • Minimum 1 years of experience in medical coding (inpatient, outpatient, CDI, SDS, ED Facility, Revenue Integrity, etc. )
  • Must have Experience/Knowledge in Infusion Coding, hydration Coding and Injection Coding
  • Strong knowledge of medical terminology, anatomy, and physiology.
  • Familiarity with payer-specific rules, LCD/NCD guidelines, and HIPAA compliance.
  • Ability to work with EHR systems and coding tools.
  • Excellent attention to detail and accuracy.
  • Good communication and analytical skills.

Scope of work :

  • Review medical records and documentation to assign accurate diagnosis and procedure codes.
  • Ensure proper coding based on guidelines from CMS, AMA, and other regulatory agencies.
  • Use ICD-10-CM, CPT, and HCPCS coding systems to assign codes for professional, facility, and outpatient services.
  • Ensure compliance with payer guidelines and BPO client-specific coding policies.
  • Work closely with internal QA and audit teams to maintain high coding accuracy.
  • Meet daily/weekly productivity and quality targets.
  • Stay up to date with the latest coding regulations, payer rules, and compliance standards.
  • Respond to queries from internal teams regarding documentation and coding issues.
  • Collaborate with billing and claims teams to resolve denials and resubmissions.

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