Remote Medical Coder - Night Shift & Growth

MicroSourcing International; Taguig; Remote; PHP 300,000 - 540,000; Full time

Benefits offered by this job

Healthcare on day one

Paid time-off with cash conversion

Group life insurance

Performance bonuses

Work from home

Job summary

MicroSourcing is seeking a Medical Coder to support US healthcare clients from a home-based night-shift role. You will review Medicare/Medicaid coding and billing documents to identify denials and coverage criteria, and prepare clinical content updates.

The position requires a BS Nursing and at least 4 years in medical billing/coding with US payer exposure; CCS-P or CPC certification is required. You will communicate findings to the Medical Director and assist customers with clinical content

Qualifications

• BS Nursing is required.
• 4 years' experience in medical billing, coding, claims processing, bill and/or chart review/auditing, is required. Previous experience working with US health insurance payers in a claims, appeals or coding capacity is also required
• Experience in denial management or claim review management is a plus.
• Excellent communication skills (verbal and written) enabling effective communication both internally with all areas of the business and externally.
• Demonstrated proficiency with various software applications, including but not limited to: MS Word, MS Excel, MS Access, Visio, JIRA, Sharepoint with MS project a plus
• AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC) is required

Responsibilities

• Research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.
• Provide written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain consensus on proposed denial criteria.
• Provide clinical content support to our customers as needed
• Perform data entry of clinical content updates into database, as needed
• Solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within Lyric business rules.

Skills

Communication skills

Medical coding

US payer experience

Education

BS Nursing

Tools

MS Word

MS Excel

MS Access

Visio

JIRA

SharePoint

MS Project

Job description

MicroSourcing is seeking a Medical Coder to support US healthcare clients from a home-based night-shift role. You will review Medicare/Medicaid coding and billing documents to identify denials and coverage criteria, and prepare clinical content updates.

The position requires a BS Nursing and at least 4 years in medical billing/coding with US payer exposure; CCS-P or CPC certification is required. You will communicate findings to the Medical Director and assist customers with clinical content