Medical Coder & Denials Auditor (CPC/COC)

Kavi Philippines; Iloilo City; On-site; PHP 300,000 - 550,000; Full time

Job summary

Kavi Philippines is seeking a Medical Coder (CPC/COC) and Denials Auditor to review inpatient, outpatient, and professional claims, ensure accurate coding, and maximize compliant reimbursement.

You will collaborate with revenue cycle teams, serve as a coding subject matter expert on denials and appeals, and stay current with CMS, NCCI, LCDs, payer policies, and evolving coding guidelines.

Qualifications

• Certified coder with CPC or COC and CPT/ICD-10-CM/HCPCS knowledge.
• Experience in medical billing, denial management, and revenue cycle processes.
• Ability to interpret physician documentation and clinical terminology.

Responsibilities

• Review, audit, and accurately code inpatient, outpatient, and professional claims.
• Ensure proper reimbursement and compliance with billing regulations.
• Collaborate with revenue cycle teams and act as coding SME for denials and appeals.
• Maintain high coding accuracy in a fast-paced healthcare setting.

Skills

Attention to detail

Analytical skills

Code interpretation

Effective communication

Collaboration

Adaptability

Education

CPC/COC certification

Tools

Coding software

EHR systems

Job description

Kavi Philippines is seeking a Medical Coder (CPC/COC) and Denials Auditor to review inpatient, outpatient, and professional claims, ensure accurate coding, and maximize compliant reimbursement.

You will collaborate with revenue cycle teams, serve as a coding subject matter expert on denials and appeals, and stay current with CMS, NCCI, LCDs, payer policies, and evolving coding guidelines.