Medical Coder

MicroSourcing; Taguig; Remote; PHP 391.000 - 614.000; Vollzeit

Benefits dieser Stelle

Healthcare coverage on day one

Dependent coverage

Paid time-off with cash conversion

Group life insurance

Performance bonuses

Collaborative work environment

Zusammenfassung

MicroSourcing is seeking a Medical Content Analyst to research and curate clinical content for automated claims editing. This remote, night-shift role supports US health payer workflows and requires nursing or pharmacy credentials with extensive coding experience.

Ideal candidates hold CCS-P or CPC certifications, are proficient in MS Office and coding tools, and bring strong communication and analytical skills. Competitive rewards are offered, including benefits and career growth opportunities.

Qualifikationen

• BS Nursing, BS Pharmacy or equivalent.
• 4 years of medical billing, coding, or claims processing experience with US payers.
• Excellent verbal and written communication skills.
• Proficiency with MS Word, MS Excel, MS Access, Visio, JIRA, SharePoint; MS Project a plus.
• AHIMA CCS-P or AAPC CPC certification is required.

Aufgaben

• Research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution.
• Provide written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain consensus on proposed denial criteria.
• Provide clinical content support to our customers as needed.
• Perform data entry of clinical content updates into databse, as needed.
• Solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within Lyric business rules.

Kenntnisse

Excellent communication skills

US health payer experience

Analytical thinking

Ausbildung

BS Nursing or Pharmacy

AHIMA CCS-P

AAPC CPC

Tools

MS Word

MS Excel

MS Access

Visio

JIRA

SharePoint

MS Project

Jobbeschreibung

Discover your 100% YOU with MicroSourcing!

Position: Medical Content Analyst

Work setup & shift: Work From Home| Night Shift

Why join MicroSourcing?

You'll Have

Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses

A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.

Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.

Career Growth: Take advantage of opportunities for continuous learning and career advancement.

Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Responsibilities

• Research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution. The clinical content could include additions, deletions or updates to diagnosis codes, procedure codes, age minimums and maximums, quantity limitations, place of service limitations and other clinical content criteria
• Provide written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain consensus on proposed denial criteria.
• Provide clinical content support to our customers as needed.
• Perform data entry of clinical content updates into databse, as needed.
• Solve problems related to the interpration of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within Lyric business rules.

Qualifications

• BS Nursing, BS Pharmacy or equivalent required.
• 4 years experience in medical billing, coding, claims processing, bill and/or chart review/auditing, is required. Previous experience working with US health insurance payers in a claims, appeals or coding capacity is also required
• Experience in denial management or claim review management is a plus. Excellent communication skills (verbal and written) enabling effective communication both internally with all areas of the business and externally.
• Demonstrated proficiency with various software applications, including but not limited to: MS Word, MS Excel, MS Access, Visio, JIRA, Sharepoint with MS project a plus
• AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC) is required

About MicroSourcing

With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU

MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!

For more information, visit https://www.microsourcing.com/

• Terms & conditions apply