Outpatient Coding Appeals Pro

Health Business Solutions LLC; Cebu City, Manila; On-site; PHP 390,600 - 558,000; Full time

Job summary

Health Business Solutions LLC is seeking a Clinical Coding Analyst in Cebu City. In this role, you will review claims denied due to coding issues and support coding appeals, ensuring accurate and compliant coding practices. You should have a Bachelor's degree in Nursing or a related field, alongside necessary certifications like CPC or CCS. A minimum of 2-3 years of medical coding experience is required. The position demands strong analytical skills and effective communication abilities.

Qualifications

• Certifications like CPC, CCS, or CIC are required.
• 2-3 years of medical coding or auditing experience needed.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.

Responsibilities

• Review and analyze denied claims for coding issues.
• Prepare and support coding-based appeals.
• Conduct coding audits to validate accuracy and compliance.

Skills

Clinical coding expertise

Attention to detail

Effective communication

Problem-solving

Education

Bachelor's degree in Nursing or related field

Tools

Coding software

Electronic Health Record (EHR) systems

Job description

Health Business Solutions LLC is seeking a Clinical Coding Analyst in Cebu City. In this role, you will review claims denied due to coding issues and support coding appeals, ensuring accurate and compliant coding practices. You should have a Bachelor's degree in Nursing or a related field, alongside necessary certifications like CPC or CCS. A minimum of 2-3 years of medical coding experience is required. The position demands strong analytical skills and effective communication abilities.