Medical Coder & Biller

Virtual Champs Global; Cebu City; On-site; PHP 279,000 - 502,000; Full time

Job summary

Virtual Champs Global is seeking an experienced Medical Coder & Biller to accurately read medical records, process U.S. healthcare claims, and audit bills against provider estimates and final charges.

A medical-related degree is preferred; candidate should be skilled in ICD-10, CPT, and HCPCS coding, with strong attention to detail and knowledge of payer requirements. Flexible shift options may be considered.

Qualifications

• Experience in U.S. medical coding, medical billing, claims processing, or revenue cycle management (RCM).
• Ability to read, interpret, and understand medical records and clinical documentation.
• Experience reviewing and verifying medical bills, provider estimates, authorizations, and final charges.
• Identify discrepancies between medical records, approved procedures, and billed services.
• Strong knowledge of medical terminology, diagnoses, procedures, and treatment workflows.
• Proficiency in ICD-10, CPT, and HCPCS coding.
• Knowledge of U.S. healthcare insurance, claims processing, and payer requirements.
• Familiarity with HIPAA regulations and handling confidential patient information.

Responsibilities

• Request, review, and validate medical bills and records from providers.
• Read and interpret medical records, including diagnoses, procedures, and treatments.
• Review provider estimates and approved procedures against final bills.
• Identify discrepancies and inconsistencies in documentation and charges.
• Assign and verify ICD-10, CPT, and HCPCS codes.
• Prepare and submit accurate claims to insurers, Medicare, and Medicaid.
• Verify patient eligibility, coverage, and authorization requirements.
• Monitor unpaid, delayed, denied, or rejected claims; follow up as needed.
• Investigate denials, identify root causes, and resubmit corrected claims.
• Post payments, adjustments, and denials in the billing system.
• Communicate with insurers and providers to resolve billing issues.
• Maintain HIPAA-compliant billing documentation and reports.

Skills

U.S. medical coding & billing

Revenue cycle management

Medical records interpretation

ICD-10 CPT HCPCS coding

HIPAA compliance

Detail-oriented

Analytical skills

Education

Graduate of a medical-related course

Tools

EHR/EMR systems

Billing software

Practice management systems

Job description

Schedule:8 HRS plus 1 HR non-paid break
We are looking for an experienced Medical Coder & Biller who can accurately read and interpret medical records, process U.S. healthcare claims, and review medical bills against provider estimates, approved procedures, and final charges. A graduate of a medical-related course is preferred.

Key Responsibilities

• Request, review, and validate medical bills and records from healthcare providers.

• Read and interpret medical records, including diagnoses, procedures, treatments, and clinical documentation.

• Review provider estimates and approved procedures against final medical bills.

• Identify billing discrepancies, coding errors, missing documentation, and inconsistencies.

• Assign, verify, and apply appropriate ICD-10, CPT, and HCPCS codes.

• Prepare and submit accurate claims to private insurers, Medicare, and Medicaid.

• Verify patient eligibility, insurance coverage, benefits, and authorization requirements.

• Monitor and follow up on unpaid, delayed, denied, or rejected claims.

• Investigate claim denials, identify the root cause, make necessary corrections, and resubmit claims.

• Post payments, adjustments, and denials accurately in the billing system.

• Communicate with insurance companies and healthcare providers to resolve billing and claims issues.

• Maintain accurate, complete, and HIPAA-compliant medical billing and claims documentation.

• Prepare claim status, billing, accounts receivable, and collection reports.

Qualifications

• Proven experience in U.S. medical coding, medical billing, claims processing, or revenue cycle management (RCM).

• Strong ability to read, interpret, and understand medical records and clinical documentation.

• Experience reviewing and verifying medical bills, provider estimates, authorizations, and final charges.

• Ability to identify discrepancies between medical records, approved procedures, and billed services.

• Strong knowledge of medical terminology, diagnoses, procedures, and treatment workflows.

• Proficiency in ICD-10, CPT, and HCPCS coding.

• Knowledge of U.S. healthcare insurance, claims processing, and payer requirements.

• Familiarity with HIPAA regulations and handling confidential patient information.

• Strong attention to detail, analytical, organizational, and problem-solving skills.

• Graduate of a medical-related course is preferred.

• Experience with U.S. healthcare accounts, billing software, EHR/EMR, or practice management systems is an advantage.