Medical Coder - Internal/Family Medicine | Permanent WFH

BizForce; Metro Manila; Remote; PHP 360.000 - 480.000; Vollzeit

Benefits dieser Stelle

Permanent Work From Home

Leave Credits

Monetary AllowanceAnnual Bonus

Weekly Paychecks

Fixed Weekends Off

Thriving Company Culture with Complete

Autonomy

Exclusive Specialized Training Program

Zusammenfassung

BizForce is seeking a Medical Coder - Internal/Family Medicine to accurately review, abstract, code, and audit physician documentation for primary care services. You will ensure diagnoses, procedures, and services are coded in line with CMS guidelines and payer requirements.

You will collaborate with providers, billing teams, and revenue cycle management to support accurate reimbursement, minimize coding errors and denials, and improve overall revenue cycle performance while maintaining HIPAA

Qualifikationen

• High school diploma or equivalent required.
• Minimum 2 years of professional medical coding experience.
• At least 1 year of primary care coding experience preferred.
• Experience with electronic health records (EHR) and practice management systems.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and modifier assignment.
• Thorough understanding of E/M coding and documentation requirements.
• Familiarity with CMS, Medicare, Medicaid, and commercial payer guidelines.
• HIPAA and healthcare compliance knowledge.

Aufgaben

• Review and accurately assign ICD-10-CM, CPT, HCPCS, and modifiers for Internal and Family Medicine services.
• Analyze physician and provider documentation to ensure complete, accurate coding.
• Apply current Evaluation and Management (E/M) guidelines.
• Ensure diagnosis codes support services and medical necessity.
• Review encounters for accurate charge capture and identify missed or incorrect coding.
• Conduct coding and documentation audits and identify improvement opportunities.
• Provide coding guidance and education to clinicians and staff.
• Review edits, denials, and reimbursement trends; recommend corrective actions.
• Assist with coding-related appeals and denial resolution.
• Maintain productivity, quality, and accuracy standards.
• Stay current with CMS guidelines and payer requirements.
• Collaborate with revenue cycle, billing, and clinical teams.

Kenntnisse

ICD-10-CM coding

CPT/HCPCS coding

E/M coding knowledge

EHR experience

Detail oriented

Analytical skills

Communication skills

Ausbildung

High school diploma or equivalent

Tools

EHR systems

Practice management systems

Microsoft Office

Jobbeschreibung

The Medical Coder - Internal/Family Medicine is responsible for accurately reviewing, abstracting, coding, and auditing physician documentation for primary care services. This role ensures that diagnoses, procedures, and services are appropriately coded in accordance with federal and state regulations, payer requirements, and organizational policies.

The Medical Coder works closely with providers, clinical staff, billing teams, and revenue cycle management to support accurate reimbursement, minimize coding errors and denials, maintain regulatory compliance, and improve overall revenue cycle performance.

Key Responsibilities

• Review and accurately assign ICD-10-CM, CPT, HCPCS, and applicable modifier codes for Internal and Family Medicine services.
• Analyze physician and provider documentation to ensure coding is complete, accurate, and supported by the medical record.
• Apply current Evaluation and Management (E/M) coding guidelines appropriately.
• Ensure diagnosis codes support the services provided and meet medical necessity requirements.
• Review patient encounters for accurate charge capture and identify missed, incomplete, or incorrect coding.
• Conduct coding and documentation audits as assigned and identify opportunities for improvement.
• Provide coding guidance and education to physicians, advanced practice providers, and clinical staff.
• Review coding edits, payer denials, and reimbursement trends and recommend appropriate corrective actions.
• Assist with coding-related appeals and denial resolution.
• Maintain established coding productivity, quality, and accuracy standards.
• Stay current with CMS guidelines, payer requirements, coding regulations, and industry best practices.
• Participate in compliance initiatives, internal audits, and quality improvement activities.
• Collaborate with revenue cycle, billing, and clinical teams to improve coding accuracy and workflow efficiency.
• Support EHR updates, system implementations, and other coding-related process changes.
• Maintain the confidentiality and security of patient information in accordance with HIPAA and organizational policies.
• Perform other coding and revenue cycle-related duties as assigned.

Qualifications

• High school diploma or equivalent required.
• Minimum of 2 years of professional medical coding experience.
• At least 1 year of primary care coding experience preferred.
• Experience working with electronic health records (EHR) and practice management systems.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and modifier assignment.
• Thorough understanding of E/M coding and documentation requirements.
• Knowledge of CMS, Medicare, Medicaid, and commercial payer guidelines.
• Familiarity with HIPAA and healthcare compliance requirements.
• Strong analytical, problem-solving, and decision-making skills.
• Exceptional attention to detail and coding accuracy.
• Ability to interpret complex medical documentation and determine appropriate codes.
• Strong written and verbal communication skills.
• Ability to work independently while collaborating effectively with providers and cross-functional teams.
• Strong organizational skills with the ability to prioritize workload and meet deadlines.
• Proficiency in Microsoft Office and healthcare software applications.
• Amenable to work during US hours
• Must be willing to undergo a background check as part of the hiring process.

Perks

• Permanent Work From Home
• Leave Credits
• Monetary AllowanceAnnual Bonus
• Weekly Paychecks
• Fixed Weekends Off
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary

Who are we?

BizForce is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH! Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.