Remote Medical Coder (Night Shift) – Sign-On Bonus

MicroSourcing International; Manila; Remote; PHP 335,000 - 580,000; Full time

Benefits offered by this job

Sign-on bonus

Healthcare coverage on day one

Paid time-off with cash conversion

Group life insurance

Performance bonuses

Job summary

MicroSourcing International is hiring a Medical Coder to research Medicare/Medicaid and other coding documents to identify denial or coverage criteria for an automated claims editing solution used by US payers.

You will present findings to Medical Director and clinical colleagues to reach consensus, provide customer support, and handle data entry of clinical content updates. Remote night-shift work is involved with strong growth opportunities.

Qualifications

• BS Nursing required.
• 4 years’ experience in medical billing, coding, claims processing, bill and/or chart review/auditing, is required.
• Previous experience 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).
• AHIMA CCS-P or AAPC CPC is required.

Responsibilities

• Research Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for automated claims editing solution.
• Provide written and oral presentations to Medical Director 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 interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for Lyric business rules.

Skills

Communication skills

Documentation

Attention to detail

Research

MS Word

MS Excel

MS Access

Visio

JIRA

SharePoint

MS Project

Education

BS Nursing

Tools

MS Word

MS Excel

MS Access

Visio

JIRA

SharePoint

MS Project

Job description

MicroSourcing International is hiring a Medical Coder to research Medicare/Medicaid and other coding documents to identify denial or coverage criteria for an automated claims editing solution used by US payers.

You will present findings to Medical Director and clinical colleagues to reach consensus, provide customer support, and handle data entry of clinical content updates. Remote night-shift work is involved with strong growth opportunities.