Medical Coder

ADEC Innovations; Muntinlupa; On-site; PHP 400,000 - 600,000; Full time

Job summary

ADEC Innovations is seeking an experienced Medical Coder to review clinical documentation and assign ICD-10-CM, CPT, and HCPCS codes for healthcare services, ensuring compliance with coding guidelines, payer requirements, and regulatory standards.

This role requires on-site mornings, AHIMA or AAPC certification, 3+ years of coding experience, and proficiency with Epic or 3M Encoder to support revenue cycle integrity.

Qualifications

• Bachelor's degree in a medical allied field or related healthcare area.
• Active AHIMA or AAPC certification (CPC, CCS, CCS-P, COC, CIC, RHIT, RHIA).
• Minimum of 3 years of recent medical coding experience in professional or facility settings.
• Strong knowledge of ICD-10-CM, CPT, HCPCS Level II, E/M coding, modifiers, NCCI edits, OPPS, and payer guidelines.

Responsibilities

• Assign accurate ICD-10-CM, CPT, HCPCS, E/M codes, and modifiers.
• Review medical records to ensure proper code selection and documentation support.
• Validate medical necessity, charge capture, claim accuracy, and reimbursement requirements.
• Research and resolve coding edits, denials, and documentation discrepancies.
• Collaborate with providers and billing teams to ensure coding compliance and revenue integrity.
• Maintain productivity and quality while complying with HIPAA and policies.

Skills

Medical coding

HIPAA compliance

Analytical skills

Communication skills

Education

Bachelor's degree in healthcare field

Tools

Epic

3M Encoder

Job description

We are seeking an experienced Medical Coder to review clinical documentation and accurately assign ICD-10-CM, CPT, and HCPCS codes for healthcare services while ensuring compliance with coding guidelines, payer requirements, and regulatory standards.

Key Responsibilities

• Assign accurate ICD-10-CM, CPT, HCPCS, E/M codes, and modifiers.
• Review medical records to ensure proper code selection, sequencing, and documentation support.
• Validate medical necessity, charge capture, claim accuracy, and reimbursement requirements.
• Research and resolve coding edits, denials, and documentation discrepancies.
• Collaborate with providers, billing teams, and other stakeholders to ensure coding compliance and revenue integrity.
• Maintain productivity and quality standards while adhering to HIPAA and organizational policies.

Qualifications

• Bachelor's Degree in a Medical allied course (e.g., BSN, BSMT, BS Pharmacy, BSRT, BSPT), or any other related healthcare field.
• Active AHIMA or AAPC certification (CPC, CCS, CCS-P, COC, CIC, RHIT, or RHIA).
• Minimum of 3 years of recent medical coding experience in Professional Fee, Outpatient, Facility, Emergency Department (ED), Ambulatory Surgery Center (ASC), Urgent Care, Surgery, or related specialties.
• Strong knowledge of ICD-10-CM, CPT, HCPCS Level II, E/M coding, modifiers, NCCI edits, OPPS, and payer guidelines.
• Experience reviewing coding edits, denials, reimbursement methodologies, and revenue cycle processes.
• Experience with EHR and coding platforms such as Epic, 3M Encoder, or similar systems.
• Strong analytical, communication, critical thinking, and problem-solving skills.
• Work onsite, morning shift.

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