Medical Coder (CPC, CIC, CCS, CPC-A)

HRTX; Cebu City; On-site; PHP 180,000 - 320,000; Full time

Job summary

HRTX is seeking a detail-oriented Medical Coder to join our healthcare operations team in Cebu City. You will review records and assign ICD-10-CM, CPT, and HCPCS codes for ED, SDS, inpatient and outpatient encounters, ensuring accuracy and compliance with HIPAA.

The ideal candidate holds BS Nursing or a medical-related degree, active coding certifications (CPC, CCS, CIC or CPC-A), and at least 1 year of experience. Proficiency in EHR, coding software, and MS Office is required.

Qualifications

• Graduate of BS Nursing or medical-related field.
• Must have an active coding certification (CPC, CCS, CIC, CPC-A).
• At least 1 year of hands-on coding experience in ED, SDS, Inpatient or Outpatient.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology.
• Excellent analytical and communication skills; detail oriented.
• Proficient in using EHR systems, coding software, and MS Office.
• Willing to work night shifts or U.S. hours if required.

Responsibilities

• Review records to assign ICD-10-CM, CPT, and HCPCS codes.
• Ensure accuracy for ED, SDS, Inpatient, and Outpatient encounters.
• Verify codes for diagnoses and procedures for billing.
• Maintain HIPAA compliance.
• Collaborate with physicians and nurses to clarify documentation.
• Participate in coding audits and training to maintain accuracy.
• Keep up with coding updates and payer policies.

Skills

ICD-10-CM CPT HCPCS

HIPAA compliance

EHR software

Attention to detail

Communication skills

Education

BS Nursing

Medical-related field

Tools

Coding software

MS Office

EHR systems

Job description

About the job Medical Coder (CPC, CIC, CCS, CPC-A)

We are looking for a detail-oriented and certified Medical Coder to join our healthcare operations team. The ideal candidate will accurately review, analyze, and assign the appropriate medical codes for diagnoses, procedures, and services rendered in various healthcare settings. This role plays a crucial part in ensuring compliance, accuracy, and efficiency in the revenue cycle management process.

Key Responsibilities:

• Review medical records, physician documentation, and clinical notes to assign appropriate ICD-10-CM, CPT, and HCPCS codes in accordance with official coding guidelines.
• Ensure accuracy and completeness of coded data for Emergency Department (ED), Same Day Surgery (SDS), Inpatient, and Outpatient encounters.
• Verify codes for diagnoses and procedures to ensure proper billing and insurance claims processing.
• Maintain compliance with HIPAA, organizational policies, and current coding standards.
• Collaborate with physicians, nurses, and other healthcare professionals to clarify documentation when necessary.
• Participate in ongoing coding audits, quality reviews, and training sessions to maintain high accuracy rates.
• Keep abreast of updates to coding manuals, payer policies, and medical terminology.

Qualifications:

• Graduate of BS Nursing or any medical-related field (e.g., Medical Technology, Physical Therapy, Pharmacy, etc.).
• Must have an active and valid coding certification, such as:
  • CPC (Certified Professional Coder)
  • CCS (Certified Coding Specialist)
  • CIC (Certified Inpatient Coder)
  • CPC-A (Certified Professional Coder Apprentice)
• At least 1 year of hands-on coding experience in any of the following areas:
  • Emergency Department (ED)
  • Same Day Surgery (SDS)
  • Inpatient Coding
  • Outpatient Coding
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology.
• Excellent analytical and problem-solving skills with high attention to detail.
• Proficient in using EHR systems, coding software, and MS Office applications.
• Strong written and verbal communication skills.
• Willing to work flexible schedules, including night shifts or U.S. hours if required.

What We Offer:

• Competitive salary package and productivity-based incentives.
• HMO coverage for employee and dependents.
• Paid training and certification renewal assistance.
• Opportunities for professional growth and specialization in various coding domains.
• Supportive and collaborative work environment.