Out-Patient Medical Coder

Nexus Recruitment Group; Pasig; A distancia; PHP 360.000 - 600.000; Jornada completa

Descripción de la vacante

Nexus Recruitment Group is seeking an Out-Patient Medical Coder to ensure accurate CPT, HCPCS, and ICD-10-CM coding for outpatient records. The role requires certifications and 2+ years of experience across specialties, with strong knowledge of billing rules and HIPAA compliance.

The ideal candidate will work remotely, review clinical documentation, and participate in audits and training to maintain high accuracy and productivity in a compliant environment.

Formación

• Associates or Bachelors degree in Health Information Management, Nursing, or related field preferred.
• Active CPC or COC certification required.
• Minimum of 2 years outpatient coding experience across specialties or facility types.
• Proficiency in CPT, HCPCS, and ICD-10-CM coding systems.
• Familiarity with outpatient billing processes and payer-specific requirements.
• Experience with EHR systems and encoder software (3M, Optum).
• Knowledge of HIPAA and data privacy standards.

Responsabilidades

• Review outpatient records and assign CPT, HCPCS, and ICD-10-CM codes.
• Ensure coding aligns with guidelines, payer rules, and client standards.
• Identify documentation gaps and coordinate with internal teams for clarification.
• Maintain coding accuracy and productivity benchmarks.
• Stay updated on outpatient coding standards and compliance requirements.
• Participate in audits, quality assurance, and training sessions.
• Use EHR systems and encoder software while maintaining confidentiality.

Conocimientos

Outpatient coding proficiency

Attention to detail

Analytical skills

Remote collaboration

Educación

Associate or Bachelor's degree in Health Information Management, Nursing, or related field

Herramientas

3M encoder

Optum encoder

EHR systems

Descripción del empleo

We are hiring a skilled and reliable Out-Patient Medical Coder to ensure accurate and compliant coding of outpatient medical records. This role involves reviewing clinical documentation and applying appropriate CPT, HCPCS, and ICD-10-CM codes across a variety of outpatient settings and specialties. The successful candidate will demonstrate solid coding expertise, a strong understanding of outpatient billing guidelines, and the ability to work across diverse clinical documentation sources.

Key Responsibilities:

• Review outpatient medical records and documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes.
• Ensure coding meets official guidelines, payer-specific rules, and client documentation standards.
• Identify documentation gaps or discrepancies and coordinate with internal teams for clarification when needed.
• Maintain coding accuracy and productivity benchmarks based on organizational expectations.
• Stay updated on the latest outpatient coding standards, payer regulations, and compliance requirements.
• Participate in regular audits, quality assurance processes, and training sessions.
• Use electronic health records (EHR) systems and coding platforms efficiently while maintaining confidentiality and data security.

Qualifications:

• Associates or Bachelors degree in Health Information Management, Nursing, or related field preferred.
• Active certification required: CPC (Certified Professional Coder), COC (Certified Outpatient Coder), or equivalent.
• Minimum of 2 years of outpatient coding experience, preferably across multiple specialties or facility types.
• Proficiency in CPT, HCPCS, and ICD-10-CM coding systems.
• Familiarity with outpatient billing processes, modifiers, and payer-specific coding requirements.
• Experience using EHR systems and encoder software (e.g., 3M, Optum).
• Knowledge of HIPAA and data privacy standards.

Preferred Skills:

• Experience handling diverse outpatient documentation from multiple provider types or practice settings.
• Strong analytical skills, attention to detail, and ability to work independently or as part of a remote team.
• Excellent organizational and communication skills.