Medical Coder

ADEC Innovations; Muntinlupa; On-site; PHP 360,000 - 600,000; Full time

Job summary

ADEC Innovations is seeking an experienced Medical Coder to review clinical documentation and accurately assign ICD-10-CM, CPT, and HCPCS codes in a fast-paced healthcare environment. You will ensure coding accuracy and compliance with guidelines to support high-quality patient care and appropriate reimbursement.

You will work onsite in the morning shift in Metro Manila, collaborating with providers and billing teams to resolve edits, denials, and documentation gaps while upholding HIPAA and

Qualifications

• Bachelor's degree in Health Information Management, Health Information Technology, Nursing, Medical Technology, or a 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, ED, 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 with EHR and coding platforms such as Epic, 3M Encoder, or similar systems.

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.

Skills

Medical coding experience

Analytical skills

Communication skills

Problem-solving

Education

Bachelors in HIM / health info

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 Health Information Management, Health Information Technology, Nursing, Medical Technology, or a 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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