Medical Allied Graduate for Coding Academy Specialist (CPC/COC) | Makati

Optum, a UnitedHealth Group Company; Makati; Hybrid; PHP 360,000 - 520,000; Full time

Benefits offered by this job

Hybrid Work Set-up

Market Total Rewards Package

Retirement Plan

Medical Plan (HMO) from Day 1 of emplo

Job summary

Optum, a UnitedHealth Group Company, is seeking a skilled Medical Coder in Makati to review and audit healthcare documentation and translate diagnoses and procedures into accurate medical codes. The role supports compliant claims processing and must align with current coding guidelines.

Candidates should have a 4-year Medical Allied degree, active CPC/COC certification, and an active PRC license, plus at least 2 years in Medical Coding (CPC-A welcome with 3+ years).

Qualifications

• Graduate of a 4-year Medical Allied course.
• Must possess an active CPC or COC certification.
• Must have an active PRC license (preferred for licensed healthcare professionals).
• At least 2 years of Medical Coding experience (CPC-certified).
• CPC-A holders are welcome to apply with at least 3 years of Healthcare Claims Processing experience.
• Knowledgeable in medical terminology, anatomy, physiology, disease processes, and healthcare documentation.
• Experience in Outpatient Coding, Home Health Coding, Emergency Department Coding, Same Day Surgery (SDS), or related coding specialties is an advantage.
• Strong attention to detail with ability to interpret and analyze medical records accurately.
• Must be willing to work in a hybrid setup in Makati City.
• Must be willing to commit to long-term employment and continuous learning within the Medical Coding profession.

Responsibilities

• Reviewing and auditing healthcare documentation to ensure coding accuracy.
• Analyzing and translating medical and clinical diagnoses, conditions, injuries, illnesses, and procedures into designated medical codes.
• Reviewing medical records and applying current coding guidelines, compliance requirements, reimbursement guidelines, and payment policies to ensure accurate coding and claims processing.
• Performing coding validation and quality reviews to identify documentation deficiencies, coding discrepancies, and compliance concerns.
• Maintaining productivity and quality standards while adhering to turnaround times and organizational goals.
• Collaborating with healthcare providers, quality teams, and operational stakeholders to support accurate documentation and coding outcomes.

Skills

CPC or COC certification

Active PRC license

Medical terminology

CPC-A eligible

Education

4-year Medical Allied course

Job description

ROLE AND RESPONSIBILITIES

• Jobs in this function specialize in reviewing and auditing healthcare documentation, including medical records, physician documentation, procedures, and healthcare services to ensure coding accuracy.
• This includes the analysis and translation of medical and clinical diagnoses, conditions, injuries, illnesses, and procedures into designated medical codes using industry-standard coding systems.
• Review medical records and apply current coding guidelines, compliance requirements, reimbursement guidelines, and payment policies to help ensure accurate coding and appropriate claims processing.
• Perform coding validation and quality reviews to identify documentation deficiencies, coding discrepancies, and compliance concerns.
• Maintain productivity and quality standards while adhering to established turnaround times and organizational goals.
• Collaborate with healthcare providers, quality teams, and operational stakeholders to support accurate documentation and coding outcomes.

Your role is critical in helping ensure accurate medical coding, regulatory compliance, and the delivery of high-quality healthcare services.

JOB QUALIFICATIONS

• Graduate of a 4-year Medical Allied course (BS Nursing, BS Pharmacy, BS Medical Technology, BS Physical Therapy, BS Radiologic Technology, BS Psychology, Nutrition and Dietetics, Respiratory Therapy, Occupational Therapy, or other related Medical Allied programs).
• Must possess an active CPC or COC certification.
• Must have an active PRC license (preferred for licensed healthcare professionals).
• At least 2 years of Medical Coding experience for CPC-certified candidates.
• CPC-A holders are welcome to apply with at least 3 years of Healthcare Claims Processing experience.
• Knowledgeable in medical terminology, anatomy, physiology, disease processes, and healthcare documentation.
• Experience in Outpatient Coding, Home Health Coding, Emergency Department Coding, Same Day Surgery (SDS), or related coding specialties is an advantage.
• Strong attention to detail with the ability to interpret and analyze medical records accurately.
• Must be willing to work in a hybrid setup in Makati City.
• Must be willing to commit to long-term employment and continuous learning within the Medical Coding profession.

WHAT WE OFFER

• Market Total Rewards Package
• Hybrid Work Set-up

• Retirement Plan
• Medical Plan (HMO) from Day 1 of employment
• Dental, Medical, and Optical Reimbursements
• Life and Disability Insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Tuition Fee Reimbursement
• Employee Assistance Program (EAP)
• Annual Performance Based Merit Increases
• Employee Recognition
• Training and Staff Development
• Employee Referral Program
• Employee Volunteerism Opportunity
• All Mandatory Statutory Benefits

WHO WE ARE

• Optumis the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
• UnitedHealth Groupis a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
• We’re a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
• As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
• We’re a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
• Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together