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

HRTX; Metro Manila; On-site; PHP 240,000 - 420,000; Full time

Job summary

HRTX is seeking a detail-oriented Medical Coder to join our healthcare operations team. The role involves reviewing clinical notes, assigning ICD-10-CM, CPT, and HCPCS codes, and ensuring accuracy for ED, SDS, inpatient, and outpatient encounters.

The candidate should hold an active coding certification (CPC/CCS/CIC/CPC-A) and have at least 1 year of hands-on coding experience in relevant settings, with strong knowledge of medical terminology and EHR systems.

Qualifications

• BS Nursing or medical-related degree.
• Active and valid coding certification (CPC, CCS, CIC, CPC-A).
• At least 1 year of hands-on coding experience in ED/SDS/Inpatient/Outpatient.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology.
• Proficient with EHR systems and coding software.

Responsibilities

• Review records and assign ICD-10-CM, CPT, and HCPCS codes.
• Ensure coding accuracy for ED, SDS, inpatient, and outpatient encounters.
• Verify codes for diagnoses and procedures for claims.
• Maintain HIPAA compliance and coding standards.
• Collaborate with clinicians to clarify documentation.
• Participate in coding audits and training.
• Stay updated with coding manuals and payer policies.

Education

BS Nursing

Medical-related field

Tools

EHR systems

Coding software

MS Office

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.