Clinical Coding Analyst: Denials, Appeals & Compliance

Health Business Solutions LLC; Pasig; On-site; PHP 500,000 - 700,000; Full time

Job summary

A healthcare solutions provider in the Philippines is looking for a Clinical Coding Analyst to ensure the accuracy and compliance of coding practices. Responsibilities include analyzing claims denials, collaborating with healthcare providers, and conducting coding audits. The ideal candidate will have a Bachelor's degree in a health-related field, relevant coding certifications, and a minimum of 2-3 years of experience in medical coding or auditing. This position offers the opportunity to contribute to optimal healthcare delivery through accurate coding.

Qualifications

• Minimum of 2-3 years of medical coding or auditing experience.
• Experience with risk adjustment audits and clinical documentation improvement (CDI).
• Certifications such as CPC, CCS, or CIC are required.

Responsibilities

• Review and analyze coding-related claims denials.
• Collaborate with coding teams and facilities for claims resubmission.
• Conduct in-depth coding audits to ensure compliance.

Skills

ICD-10 knowledge

CPT coding

HCPCS coding

Attention to detail

Interpersonal skills

Education

Bachelor's degree in Nursing or related field

Tools

Coding software

Electronic health records (EHR)

Job description

A healthcare solutions provider in the Philippines is looking for a Clinical Coding Analyst to ensure the accuracy and compliance of coding practices. Responsibilities include analyzing claims denials, collaborating with healthcare providers, and conducting coding audits. The ideal candidate will have a Bachelor's degree in a health-related field, relevant coding certifications, and a minimum of 2-3 years of experience in medical coding or auditing. This position offers the opportunity to contribute to optimal healthcare delivery through accurate coding.