Medical Content & Coding Specialist: Denials & Guidelines

Magnum Transaction Sub Philippines, LLC.; Manila; On-site; PHP 500,000 - 800,000; Full time

Job summary

Magnum Transaction Sub Philippines, LLC. is looking for a medical coding specialist. This role involves updating diagnosis and procedure codes, collaborating with medical professionals, and providing clinical content support. Candidates should have a BS in Nursing or equivalent, along with coding certifications such as CCS-P or CPC.

Experience with U.S. health insurance payers, strong communication skills, and proficiency in software applications like MS Office are essential for success in this position.

Qualifications

• Minimum 4 years of experience in medical billing, coding, claims processing, bill and/or chart review/auditing.
• Previous experience working with U.S. health insurance payers in a claims, appeals, or coding capacity.
• Experience in denial management or claim review management is a plus.

Responsibilities

• Provide additions, deletions, or updates to diagnosis codes and procedure codes.
• Make recommendations for denial of diagnosis based on coding guidelines.
• Provide clinical content support to customers as needed.

Skills

Medical billing expertise

ICD-10-CM coding knowledge

Excellent communication skills

Proficiency in MS Office applications

Education

BS in Nursing or equivalent

AHIMA Certified Coding Specialist (CCS-P)

AAPC Certified Professional Coder (CPC)

Tools

MS Word

MS Excel

MS Access

Visio

JIRA

SharePoint

MS Project

Job description

Magnum Transaction Sub Philippines, LLC. is looking for a medical coding specialist. This role involves updating diagnosis and procedure codes, collaborating with medical professionals, and providing clinical content support. Candidates should have a BS in Nursing or equivalent, along with coding certifications such as CCS-P or CPC.

Experience with U.S. health insurance payers, strong communication skills, and proficiency in software applications like MS Office are essential for success in this position.