Outpatient Medical Coder

3 days ago


Pasig, National Capital Region, Philippines BizForce Full time

We're looking for an experienced
Certified Coder
to join our Billing & Coding team. Reporting directly to the Lead Billing and Coding Specialist, this role is responsible for reviewing and coding provider-signed encounters with accuracy, speed, and full compliance. You'll also play a key role in educating providers, ensuring documentation quality, and helping refine service lines as our organization grows.

Key Responsibilities

  • Interpret medical records to assign accurate diagnosis, procedure, and E/M codes based on national coding guidelines.
  • Apply strong knowledge of anatomy, physiology, and medical terminology to ensure proper coding of all services.
  • Review provider notes daily for completeness and accuracy.
  • Follow up with providers and clinical staff to obtain missing information.
  • Identify all chargeable items and assign correct CPT/CPT II/HCPCS codes, including appropriate modifiers.
  • Review patient claims for demographic and coding accuracy; enter missing information when needed.
  • Prioritize tasks effectively to ensure time-sensitive items are completed first.
  • Ensure all charges and edits are completed prior to month-end close.
  • Collaborate with the AR team to monitor and reduce coding-related denials; develop strategies to support reimbursement accuracy.
  • Research coding/billing issues and assist with data analysis for reporting.
  • Stay current on all laws, regulations, and updates affecting medical records and coding guidelines.
  • Conduct baseline, monthly, and quarterly coding audits; provide education on documentation and coding accuracy in alignment with CMS and federal regulations.
  • Serve as a resource and subject-matter expert for providers, clinical staff, and team members.
  • Participate in internal meetings, training sessions, and team discussions as needed.

Qualifications

  • 2–4+ years of physician coding experience (primary care strongly preferred).
  • Coding certification through AHIMA and/or AAPC.
  • Hands-on experience with Athena.
  • Strong verbal, written, and interpersonal communication skills.
  • High proficiency in Microsoft Excel, Word, and PowerPoint.
  • Ability to interact with providers and deliver effective training, feedback, and documentation support.

Work-from-Home Device Requirement

  • Device: Personal computer with Intel Core i5 or higher, or AMD Ryzen 5 or higher
  • Internet: Wired connection with at least 50 Mbps download speed, plus a backup connection (e.g., mobile hotspot or prepaid Wi-Fi)
  • Work Environment: Quiet, well-lit space with minimal background noise

Benefits

  • Permanent Work From Home
  • Weekly Paychecks
  • Fixed Weekends Off
  • HMO Reimbursement on your 90th day
  • Thriving Company Culture with Complete Autonomy
  • Exclusive Specialized Training Programs
  • Unlock Your Potential with a Highly Competitive Salary

____________________________________________________________________

Who are we?
MedCore Solutions is the healthcare division of BizForce, dedicated to supporting U.S.-based healthcare clients through a skilled remote workforce in the Philippines. We specialize in connecting top clinical and administrative talent with reputable healthcare organizations, ensuring high-quality care delivery while providing rewarding work-from-home careers.

Why work for Bizforce?
Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today Bizforce was founded with one goal – to deliver dependable high-quality skilled labor and business processes to US-based companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.



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