Medical Coder

Summary:

We are currently seeking a highly skilled and motivatedMedical Coderto join our growing team. The successful candidate will be responsible for translating medical documentation into standardized codes for billing purposes, ensuring accuracy and compliance with regulatory guidelines. This position requires a strong understanding of medical terminology, anatomy, and coding principles.

What’s in it for you?

-Health Insurance (HMO)

-Competitive Salary

-Expanded maternity leave up to 120 days

-Allowances

-Paid Time offs (Vacation Leaves Are Convertible to cash if unused)

-Companywide events

-Fun & Relaxed environment

Job Details:

Medical Coder

Work from home

Monday to Friday | 11:30 PM to 8:30 AM (Manila time)

*Following US Holidays

Responsibilities:

• Review and analyze medical records, physician notes, and other relevant documents to accurately assign appropriate codes for diagnoses and procedures.
• Ensure accurate coding of services for assigned specialties.
• Maintain up-to-date knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines and industry changes.
• Collaborate with billing and insurance teams to address coding discrepancies and resolve any issues that may arise.
• Conduct internal audits to ensure compliance with federal, state, and payer-specific regulations.
• Provide support and guidance to medical staff and colleagues regarding proper documentation and coding practices.
• Participate in continuing education programs and maintain professional certifications.
• Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.

Qualifications:

• At least 2 years of experience in medical coding, with a focus on Value-Based care program, risk adjustment, and HCC (Hierarchical Condition Category) coding. Out-Patient setting rather than hospital experience is preferred in dealing with ProFee (Professional Fee) coding/billing.
• Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent through a recognized coding organization (e.g., AAPC, AHIMA).
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems and guidelines.
• Strong knowledge of medical terminology, anatomy, and physiology.
• EPIC/Athena experience will be a plus.
• Excellent attention to detail and the ability to accurately interpret complex medical information.
• Strong analytical, problem-solving, and decision-making skills.
• Excellent communication skills. He/she will deal with Doctors in providing education and audits to our value-based program.
• High level of integrity and professionalism, with the ability to maintain strict confidentiality.
• Strong organizational skills, with the ability to manage multiple tasks and priorities in a fast-paced environment.
• Proficient in Microsoft Office applications (Word, Excel, Outlook) and the ability to adapt to new software systems quickly.