Clinical Coding Specialist

About the Role

We are seeking a highly skilled Clinical Coding Specialist with deep expertise in inpatient surgical coding to join our team. This is an excellent opportunity to work on some of the most complex and rewarding inpatient cases, including trauma, transplants, cardiology, and advanced surgical specialties.

As part of our coding team, you will ensure accuracy, compliance, and optimal reimbursement while collaborating closely with providers and CDI specialists. Your expertise will directly support both clinical excellence and revenue integrity in a dynamic healthcare environment.

Key Responsibilities

Assign accurate ICD-10-CM and ICD-10-PCS codes for inpatient surgical diagnoses and procedures.

Perform DRG and APR-DRG assignment in compliance with hospital, state, and federal regulations.

Review detailed inpatient documentation, identify gaps, and query providers as needed.

Partner with physicians, CDI, and revenue cycle teams to ensure complete and compliant clinical documentation.

Conduct audits and quality reviews, sharing feedback to enhance coding standards.

Meet or exceed organizational benchmarks for accuracy and productivity.

Stay updated with coding guidelines, payer requirements, and regulatory changes.

Qualifications

Certification(s) : CCS, CIC, CPC, COC, RHIA, or other AAPC / AHIMA-recognized credentials.

Experience : 5+ years of inpatient coding experience, preferably with a strong focus on surgical specialties.

Skilled in coding for Orthopedics, Cardiology, Neurosurgery, Transplants, Trauma, and General Surgery.

Demonstrated expertise in DRG / APR-DRG assignment, CDI collaboration, and hospital coding compliance.

Proficiency with Epic or similar EMR / coding platforms.

Strong knowledge of anatomy, physiology, and disease processes.

Excellent analytical, problem-solving, and communication skills.

Preferred Background :

Coding experience in Level 1 trauma centers, teaching hospitals, or large academic medical centers.

Prior experience in auditing, provider education, or coding leadership / QA roles.

Compensation & Benefits :

Competitive pay : PHP 150,000 / month

Performance incentives and annual merit increases

HMO coverage (employee + dependents after regularization)

Paid time off (vacation, sick leave, and holidays)

Continuous education support (certification renewals, training, and workshops)

Career advancement opportunities (auditing, CDI, leadership tracks)

Wellness programs – employee assistance, mental health support, and wellness allowances

Supportive, collaborative work culture

Schedule & Work Environment

On-site role in a professional hospital-based setting

Flexible scheduling options to promote work-life balance