Medical Coder

leading-edge; Metro Manila; On-site; PHP 360,000 - 520,000; Full time

Job summary

Leading-edge is seeking a Medical Coder in the Philippines to assign accurate ICD-10-CM and CPT codes for insurance claims, while ensuring privacy and regulatory compliance.

The role requires a Nursing-related degree, active coder certification, and 1–2 years of coding experience. Familiarity with EHRs and encoder systems is preferred, with attention to HIPAA regulations and payer rules.

Qualifications

• Bachelor's degree in Nursing or related medical field.
• Active medical coder license (CPC, CCS, CIC) or equivalent.
• 1–2 years of medical coding experience; some employers require 3–5 years of clinical experience.

Responsibilities

• Review patient records to assign ICD-10-CM/ CPT codes accurately.
• Ensure compliance with US payer requirements and regulations.
• Analyze records for completeness and note missing information.
• Protect patient information and maintain confidentiality.
• Keep up-to-date with coding changes and guidelines.

Skills

Computer skills

EHR systems

HIPAA knowledge

Education

Bachelor's in Nursing

Tools

Encoder systems

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 maintaining patient confidentiality. The role involves reviewing patient records, analyzing medical data, and assigning codes for diagnoses and procedures.

Key Responsibilities

• Review patient records to assign accurate diagnostic and procedural codes using ICD-10-CM and CPT coding systems
• Ensure compliance with federal regulations, state laws, and payer requirements
• Analyze and organize medical records, noting any missing information
• Protect patient information from unauthorized access
• Stay updated with coding changes to correctly code diagnoses, procedures, and medications

Requirements

• Education: Bachelor's degree in Nursing or a related medical field
• Certifications: Active license as a medical coder (CPC, CCS, CIC, or equivalent) from a recognized accrediting body
• Experience: At least 1-2 years of experience in medical coding, with some companies requiring 3-5 years of clinical experience
• Skills: Proficient in computer applications, automated encoder systems, and electronic health records (EHR) systems
• Knowledge: Strong understanding of medical terminology, anatomy, and physiology, as well as US insurance plan structure and HIPAA regulations