- Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities.
- Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions.
- Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings letters.
- Maintains accuracy and quality standards as established by audit management.
- Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs).
- Suggests and develops high quality, high value, concept and or process improvement and efficiency recommendations.
- Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred.
- USRN with 2 yrs of bedside experience
- With inpatient hospital coding experience
- Has at least one or more of the following certification: Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC), Inpatient Coding Credential such as CCS or CIC
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We're looking for an experienced Medical Coder to review CPT Codes. · Interested? Comment below or send me a message—let's talk · ...
Manila1 buwan ang nakalipas
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· Job Description: · Job Title : Medical Coder · Location : Philippines · Job Summary · A Medical Coder in the Philippines is responsible for assigning accurate medical codes to healthcare insurance claims, ensuring compliance with coding guidelines and regulations, and maintain ...
Manila, Philippines ₱450,000 - ₱1,200,000 (PHP) bawat taon2 araw ang nakalipas
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Join Our Team as a Medical Coder to review CPT Codes and take your next career move. · ...
Manila, National Capital Region1 buwan ang nakalipas
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· We are looking for a detail-oriented and certified Medical Coder to join our healthcare operations team. The ideal candidate will accurately review, analyze, and assign the appropriate medical codes for diagnoses, procedures, and services rendered in various healthcare setting ...
Manila, Philippines ₱450,000 - ₱1,200,000 (PHP) bawat taon1 linggo ang nakalipas
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Role Description · This is a full-time Medical Coder position specializing in Inpatient (IP), Same Day Surgery (SDS), Emergency Department (ED), and Observation (OBS) coding. The role involves accurately coding medical records, ensuring compliance with coding guidelines, and main ...
Manila ₱450,000 - ₱1,200,000 (PHP) bawat taon5 araw ang nakalipas
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Candidate must be a Medical Allied professional and must hold a valid CPC or CRC certification. A minimum of 2 years of hands-on experience in Risk Adjustment/HCC coding is required. · ...
Manila3 linggo ang nakalipas
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About the Company · Shearwater Health is a leading healthcare solutions provider, serving clients across the globe. We are dedicated to delivering high-quality, cost-effective medical coding and revenue cycle management services. Our mission is to empower healthcare organisations ...
Philippines1 araw ang nakalipas
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This is a full-time on-site role for a Medical Coder based in Quezon City. · Accurately assigning medical codes based on clinical documentation and standard coding guidelines. · Reviewing medical records and ensuring compliance with coding regulations. · ...
Quezon City1 buwan ang nakalipas
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As a Claim Coder, you will be responsible for reviewing patient medical records, assigning accurate codes to diagnoses, procedures, and services performed, and ensuring that all billing submissions comply with the relevant coding regulations and standards. You will work closely w ...
Philippines5 araw ang nakalipas
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Coding of Gastroenterology procedures and surgeries. · Coding of Gastroenterology procedures and surgeries. · Verify and ensure the accuracy and completeness of diagnosis codes based on services rendered. · ...
Manila Freelance1 buwan ang nakalipas
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· JOB TITLE: Outpatient Medical Coders · Location: Manila, Philippines · Required experience: 6 months -12 months in Outpatient coding. · Work Shift: Night 9 am to 6 pm · Education: Any life science background · Non-certified preferable · Salary: 35K to 50K basic. · No of Vacanc ...
manila ₱240,000 - ₱480,000 (PHP) bawat taon1 linggo ang nakalipas
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The QA Specialist ensures accuracy, compliance, and integrity of hospital medical coding for inpatient and outpatient records. · ...
Makati2 buwan ang nakalipas
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If you have solid experience in SDS or OBS, we want you on our healthcare team We're seeking sharp, detail-driven coders who are confident in outpatient guidelines and compliance standards. · What We're Looking For: · Must have a PHRN license · Certified Medical Coder (CPC, CCS, ...
Manila ₱240,000 - ₱480,000 (PHP) bawat taon1 linggo ang nakalipas
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Apply accurate ICD-10,CPT and HCPCS codes based on documentation and services rendered. · ...
Manila Freelance2 linggo ang nakalipas
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Experience these exceptional benefits when you join Med-Metrix · 8-Hour Shifts · Day 1 HMO with 2 of your dependents covered for FREE · Group Life Insurance · Medical Cash Allowance · Rice Allowance · Clothing Allowance · Holiday Gift · Bereavement Assistance · Paid Time Off · Tr ...
Philippines ₱240,000 - ₱480,000 (PHP) bawat taon5 araw ang nakalipas
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Job Description · Apply accurate ICD-10, CPT, and HCPCS codes based on documentation and services rendered · Ensure proper code sequencing, modifiers, and compliance with payer and regulatory guidelines · Clarify missing or unclear documentation with healthcare providers when nee ...
Mandaluyong ₱450,000 - ₱1,200,000 (PHP) bawat taon1 linggo ang nakalipas
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Amazon Healthcare is seeking Sr. Medical Coders for the Revenue Cycle team. · CPC certification through AAPC and/or CCS certification through AHIMA is required. · 1+ year as an outpatient and/or risk adjustment coder. · ...
Manila1 buwan ang nakalipas
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+ Job summary: The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controllership at the lowest cost to the company. · + Qualifications:CPC certification through AAPC and ...
Manila1 buwan ang nakalipas
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Coding of Gastroenterology procedures surgeries hospital and office visits. · ...
Mandaluyong1 buwan ang nakalipas
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Ambitious and results-driven Sr. Medical Coder sought to support One Medical's Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. · ...
Manila1 buwan ang nakalipas
Medical Coder - National Capital Region - IT-SPAC

1 araw ang nakalipas
Paglalarawan
About the Client
Global leader in Healthcare operations
About the Role
Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.
Responsibilities
Qualifications
Required Skills
Advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge.
Preferred Skills
Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology.
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