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

MicroSourcing International; Manila; Remote; PHP 360,000 - 600,000; Full time

Benefits offered by this job

Sign-on bonus (1 month’s salary)

Healthcare on day one for you and one+

Paid time-off with cash conversion

Group life insurance

Performance bonuses

Job summary

The Medical Coder will 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. This solution is used by medical insurance payers across the United States.

The role requires clear written and oral communication with Medical Director and clinical colleagues to reach consensus on denial criteria.

Qualifications

• BS Nursing is required.
• 4 years' experience in medical billing, coding, claims processing, or chart review/auditing.
• Experience with US health insurance payers in a claims, appeals, or coding capacity is required.
• Experience in denial management or claim review management is a plus.
• Excellent communication skills (verbal and written) enabling effective internal and external communication.
• Proficiency with MS Word, MS Excel, MS Access, Visio, JIRA, SharePoint; MS Project is a plus.

Responsibilities

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

Skills

Communication skills

Education

BS Nursing

Tools

MS Word

MS Excel

MS Access

Visio

JIRA

SharePoint

MS Project

Job description

The Medical Coder will 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. This solution is used by medical insurance payers across the United States.

The role requires clear written and oral communication with Medical Director and clinical colleagues to reach consensus on denial criteria.