Medical Coding Specialist

Position Summary

The Medical Coding Specialist ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately.

Job Details:

• Work from Home
• Monday to Friday | 7:00 PM to 4:00 AM Manila Time
• *US Holidays will be followed

Responsibilities:

• Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
• Collect health information as documented by medical specialists and code them appropriately.
• Consult medical specialists for further clarification and understanding of items on patient charts to avoid any misinterpretations.
• Ensure that codes tally with doctors’ diagnosis.
• Evaluate and re-file appeals of patient claims that were denied.
• Be updated about new coding rules as codes change from time to time.
• Collect and distribute coding-related information and billing issues.
• Provide accurate answers to queries on coding.
• Other duties as assigned by management.

Qualifications:

• Must have at least 3-5 years of billing and/or coding experience in a medical environment.
• Comprehensive knowledge of insurance plans, member eligibility, insurance billing, and medical coding.
• Strong background in both government and commercial payers.
• Understanding of CPT, ICD-10, UB, HCFA, and 837 terminologies.
• Excellent interpersonal and customer service skills.
• Detail-oriented.
• Strong problem-solving and research skills.
• Excellent math, verbal, and communication skills.
• Computer proficiency.