Outpatient Medical Coder — Precision ICD/CPT Expert

Nexus Recruitment Group; Pasig; On-site; PHP 300,000 - 420,000; Full time

Job summary

Nexus Recruitment Group is seeking a ProFee Medical Coder (Outpatient) to assign accurate ICD-10-CM, CPT, ICD-10-PCS, and HCPCS codes to patient records and to abstract clinical data into the facility's system.

Under supervision, the coder will review documentation, ensure coding accuracy for Outpatient and Professional services, and compose queries to improve clinical documentation. Strong EHR and encoder experience, attention to detail, and communication skills are essential.

Qualifications

• Bachelor's degree in Medical Records, Allied Medical Field or equivalent.
• At least 1 year of experience in ProFee medical coding.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, DRGs, and APCs.
• Experience with encoder and abstracting systems and EHRs.
• Excellent analytical, communication, and customer service skills.
• Ability to interpret handwritten clinical documentation.

Responsibilities

• Abstract, code, and sequence diagnoses, procedures, and treatment modalities for inpatient and day surgery cases when applicable.
• Review provider documentation to determine principal diagnosis, secondary conditions, co-morbidities, complications, and procedures.
• Assign ICD-10-CM, CPT, and HCPCS codes for Outpatient and Professional services.
• Assign accurate APCs for facility coding.
• Perform compliance reviews following coding guidelines, payer rules, and physician directives.
• Compose compliant queries to providers to clarify documentation and improve coding accuracy.
• Enter coded data into encoder and abstracting systems from source documents.
• Report daily productivity and escalate issues to supervisor.
• Maintain confidentiality of patient information per HIPAA and policies.

Skills

Medical terminology

Coding guidelines

ICD-10-CM

CPT

HCPCS

DRGs

APCs

EHR systems

Analytical skills

Communication skills

Education

Bachelor's Degree

Tools

Encoder systems

Abstracting systems

Job description

Nexus Recruitment Group is seeking a ProFee Medical Coder (Outpatient) to assign accurate ICD-10-CM, CPT, ICD-10-PCS, and HCPCS codes to patient records and to abstract clinical data into the facility's system.

Under supervision, the coder will review documentation, ensure coding accuracy for Outpatient and Professional services, and compose queries to improve clinical documentation. Strong EHR and encoder experience, attention to detail, and communication skills are essential.