Medical Coder for Primary Care Clinic

ElevateCalls; Manila; Remote; PHP 480,000 - 720,000; Full time

Job summary

ElevateCalls is seeking a Senior Medical Coder to join our Primary Care Clinic team. This role focuses on accurate coding of diagnoses, procedures, and services using ICD-10, CPT, and HCPCS, ensuring compliance and optimizing reimbursement.

The ideal candidate has 2+ years of medical coding experience, CPC or CCS certification, and strong knowledge of coding guidelines. The role offers remote work from the Philippines and opportunities for mentorship and training.

Qualifications

• Certification as CPC or CCS is required.
• Minimum 2 years of medical coding experience.
• Strong knowledge of ICD-10, CPT, HCPCS.

Responsibilities

• Code diagnoses, procedures, and services using ICD-10, CPT, HCPCS.
• Review patient charts for accuracy and completeness.
• Perform coding audits to ensure standards and compliance.
• Collaborate with physicians to clarify documentation and coding requirements.
• Stay updated with coding regulations and payer requirements.
• Mentor junior coders and train staff on coding best practices.
• Generate and analyze coding and billing reports to monitor performance.

Skills

Attention to detail

Communication skills

Problem-solving

Teamwork / collaboration

Independent work

EHR proficiency

Coding software

Education

CPC

CCS

Tools

EHR systems

Coding software

Job description

Employment Type: Full-Time WFH

Department: Primary Care Clinic

Overview

We are seeking an experienced and detail-oriented Senior Medical Coder to join our primary care clinic team. The ideal candidate will have extensive experience in coding for primary care services and a thorough understanding of medical coding guidelines and regulations. This role is pivotal in ensuring accurate and compliant coding of diagnoses, procedures, and medical services to optimize revenue and support high-quality patient care.

Key Responsibilities

• Medical Coding:
  Accurately code diagnoses, procedures, and services using ICD-10, CPT, and HCPCS codes, ensuring compliance with all relevant regulations and guidelines.
• Chart Review:
  Conduct thorough reviews of patient charts and medical records to verify the accuracy and completeness of coding and documentation.
• Coding Audits:
  Perform regular coding audits to identify areas for improvement and ensure adherence to coding standards and clinic policies.
• Documentation Support:
  Collaborate with physicians and clinical staff to clarify documentation and coding requirements. Provide guidance and training to ensure accurate and comprehensive documentation.
• Compliance:
  Stay up-to-date with changes in coding regulations, payer requirements, and industry standards. Implement necessary adjustments to maintain compliance and optimize reimbursement.
• Training and Mentorship:
  Mentor and train junior coders and clinical staff on coding best practices and updates. Lead internal training sessions to enhance team knowledge and skills.
• Reporting:
  Generate and analyze coding and billing reports to monitor performance, identify trends, and support decision-making processes.

Qualifications

• Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent.
• Minimum of 2 years of medical coding experience, preferably in a primary care or multi-specialty clinic setting.
• In-depth knowledge of ICD-10, CPT, and HCPCS coding guidelines.
• Strong understanding of medical terminology, anatomy, and primary care procedures.
• Excellent attention to detail and problem-solving skills.
• Proficiency in electronic health records (EHR) systems and coding software.
• Ability to work independently and collaboratively in a fast-paced environment.
• Strong communication and interpersonal skills.