IP Claims/Inpatient Claims

Equicom Services Inc.; Makati; On-site; PHP 279,000 - 446,000; Full time

Job summary

A healthcare service provider in Metro Manila is seeking a Medical Coder to review inpatient medical records and assign appropriate ICD-10 and procedure codes. The successful candidate will ensure compliance with insurance and hospital guidelines, manage coded data in systems, and communicate with healthcare providers for clarity in documentation. Qualified individuals should be medical graduates with a strong understanding of coding processes. This role supports the timely submission of insurance claims for reimbursement.

Qualifications

• Medical graduates with knowledge of ICD-10 coding.
• Experience in managing coded data in healthcare systems.
• Understanding of insurance and hospital guidelines.

Responsibilities

• Review inpatient medical records for coding.
• Assign ICD-10 and procedure codes based on diagnoses.
• Ensure compliance with insurance and hospital guidelines.
• Manage coded data in processing systems.
• Verify records to prevent errors in claims.
• Communicate with providers for documentation clarity.
• Support timely insurance claims processing.

Education

Medical Graduates

Job description

Job Description

• Review inpatient medical records, including discharge summaries, lab results, and doctors’ notes.
• Assign accurate ICD-10 and procedure codes based on patient diagnoses and treatments.
• Ensure coding complies with insurance, regulatory, and hospital guidelines.
• Input and manage coded data in hospital or claims processing systems.
• Verify and reconcile records to prevent errors or claim denials.
• Communicate with healthcare providers or billing teams to clarify unclear documentation.
• Support timely processing and submission of insurance claims for reimbursement.

Qualification

Medical Graduates