PHRN Medical Coder

7 days ago

Pasay, National Capital Region, Philippines ACCPRO INTERNATIONAL Full time ₱480,000 - ₱600,000 per year

DUTIES and RESPONSIBILITIES:

Medical Coding & Documentation

  • Assign ICD-10, CPT, HCPCS, and DRG codes based on medical records.
  • Ensure the accuracy of coded data for proper claims processing and billing.
  • Review clinical documentation for completeness and compliance.

Quality & Compliance

  • Maintain adherence to HIPAA, CMS, and other healthcare regulations.
  • Stay updated with changes in medical coding guidelines and best practices.
  • Collaborate with healthcare providers for accurate documentation.

Audit & Reporting

  • Conduct regular coding audits and quality checks.
  • Identify coding discrepancies and recommend corrective actions.

QUALIFICATIONS:

  • Years Clinical Experience: 1-2 RN (desirable, not required)
  • Any Coding certification with experience in ICD-10, CPT, HCPCS (Non Nego)
  • Can accept without coding lic, but candidate has 2 years billing or coding experience (coding allowance will be removed)
  • Hybrid Set up - 5-6 months hybrid set up then 2-3 times per week onsite, WFH after training given that candidates meet all requirements (stable net, good performance, passed training)
  • Active PRC License
  • Coding license preferred.

Job Type: Full-time

Pay: Php30, Php50,000.00 per month

Application Question(s):

  • What is the highest level of education you have completed?
  • How many years of Staff Nurse/Clinical experience do you have?
  • How many years of experience do you have in any of these? (ICD - 10, CPT, HCPCS):
  • How many years of experience do you have with billing and coding:
  • Are you willing to report onsite if needed?
  • Active Viber and phone number:
  • Active email address:
  • Where are you currently located:
  • Kindly provide your PRC license number:
  • Do you have a coding license? (if yes, kindly attach it to your resume)
  • Do you have a coding certificate? (if yes, kindly attach it to your resume)
  • Are you available to start as soon as possible?
  • Kindly provide your full name (First name, Middle name, Last name)

Work Location: In person

  • Inpatient/Outpatient Medical Coders WFH after Training

    1 day ago

    Pasay, National Capital Region, Philippines Access Healthcare Full time ₱1,920,000 - ₱2,400,000 per year

    We are currently looking for Inpatient/Outpatient Medical Coders to be part of our growing medical coding team. I've noted some of the qualifications for your reference. If you are interested, please reply to this message with your updated resume and we will reach out to you ASAP.Inpatient Medical CoderReview and analyse medical records for accurate coding...

  • Medical Coders

    7 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,...

  • CDI Coders | IP Coders | WFH after Training | up to 120K

    2 weeks ago

    Pasay, National Capital Region, Philippines Private Advertiser Full time ₱60,000 - ₱120,000 per year

    We are looking for skilled CDI Specialists and Inpatient Coders to join our dynamic team and drive clinical and coding accuracy across client systems. Job ResponsibilitiesAnalyze inpatient medical records to ensure clinical documentation accurately reflects patient severity, risk, and outcomes.Collaborate with physicians and healthcare teams to clarify...

  • Inpatient/Outpatient Medical Coders WFH after Training

    7 days ago

    Pasay, National Capital Region, Philippines access healthcare Full time ₱900,000 - ₱1,200,000 per year

    We are currently looking forInpatient/Outpatient Medical Coders to be part of our growing medical coding team. I've noted some of the qualifications for your reference. If you are interested, please reply to this message with your updated resume and we will reach out to you ASAP. Inpatient Medical CoderReview and analyse medical records for accurate coding...

  • CDI Coder

    7 days ago

    Pasay, National Capital Region, Philippines Access Healthcare Full time

    We are currently looking for highly skilled and detail-orientedInpatient Medical Coders/CDI Coderto join our team in Pasay City.The ideal candidate must be a graduate of medical allied course and a Certified Professional Coder (CPC) with at least 1 year of experience in Inpatient coding. A strong understanding of ICD-10 and PCS coding is essential to excel...

  • Medical Coding Analyst – CDI

    1 week ago

    Pasay, National Capital Region, Philippines Private Advertiser Full time ₱40,000 - ₱80,000 per year

    CDI Specialists & Inpatient Coders (Healthcare BPO)Join our dynamic team and play a key role in enhancing clinical documentation quality and coding accuracy across our client systems.Ideal CandidateMust be a PHRN with an active license.Must hold an active coding certification (e.g., CCS, CPC, CIC, CCA).Minimum 1 year of experience in Inpatient Coding or...

  • Utilization Review Nurse

    2 weeks ago

    Pasay, National Capital Region, Philippines Private Advertiser Full time ₱900,000 - ₱1,200,000 per year

    We're looking for skilled Utilization Review Nurses (PHRN-USRN) to join our dynamic team and ensure medical necessity, cost-efficiency, and compliance with health plan policies and regulatory standards. QualificationsMust have active PHRN or USRN licenseMinimum of 2 years of acute care management in a hospital set upMust have 1 year of experience in...

  • Utilization Review Nurse

    7 days ago

    Pasay, National Capital Region, Philippines Private Advertiser Full time ₱900,000 - ₱1,200,000 per year

    We're looking for skilled Utilization Review Nurses (PHRN-USRN) to join our dynamic team and ensure medical necessity, cost-efficiency, and compliance with health plan policies and regulatory standards. QualificationsMust have active PHRN or USRN licenseMinimum of 1 year of acute care management in a hospital set upMust have 1 year of experience in...

  • Registered Nurse Team Leader

    7 days ago

    Pasay, National Capital Region, Philippines Access Healthcare Full time

    We are looking for a PHRN Team Lead to oversee and support a team of Utilization Review Nurses in providing high-quality medical necessity reviews for our U.S. healthcare clients.This leadership role requires strong clinical knowledge, hands-on UR experience, and the ability to guide and motivate a team in a fast-paced, remote work environment.Key...

  • Utilization Review Nurse

    2 weeks ago

    Pasay, National Capital Region, Philippines Access Healthcare Full time ₱800,000 - ₱1,200,000 per year

    We are seeking a highly skilled and detail-orientedPH Registered Nurse (PHRN)to join our team.The ideal candidate will have hands-on experience withInterQual,MCG,NCD, andLCDGuidelinesKey ResponsibilitiesConduct clinical reviews of inpatient and outpatient services using InterQual, MCG, NCD, and LCD criteria.Analyze patient records to determine the medical...