Medical Coder & Biller - Revenue Cycle Specialist

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

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.