SDS Coder

Our Clients; Quezon City; On-site; PHP 279,000 - 502,000; Full time

Job summary

Our Clients in Manila is seeking a detail-oriented Same Day Surgery Medical Coder to review and assign diagnosis and procedure codes for outpatient surgeries. The role requires strong knowledge of CPT, ICD-10-CM, HCPCS Level II, and compliance with coding guidelines.

You will work with physicians and revenue cycle teams, stay current on coding rules, and ensure accurate reimbursement while maintaining productivity and quality.

Qualifications

• Active CPC, CCS-P, CCS, or COC certification.
• Minimum 2 years SDS or Outpatient Surgery coding experience.
• Strong knowledge of CPT, ICD-10-CM, HCPCS Level II, and NCCI.
• Experience with EHRs such as Epic, Cerner, Meditech is preferred.

Responsibilities

• Review operative reports, docs, anesthesia records to assign accurate codes.
• Code outpatient and ambulatory surgery cases using ICD-10-CM, CPT, and HCPCS Level II.
• Ensure compliance with AAPC, AHIMA, CMS, NCCI edits, and payer guidelines.
• Identify missing or conflicting documentation and request clarification.
• Apply appropriate modifiers for accurate reimbursement.
• Review coding edits and resolve denials or rejections.
• Maintain productivity and quality standards.
• Participate in coding audits and training sessions.
• Stay updated on coding guideline changes and payer policies.
• Collaborate with physicians and revenue cycle teams to improve accuracy.

Skills

Analytical skills

Problem-solving

Attention to detail

Communication skills

Independent worker

Education

CPC/CCS-P/CCS/COC certificate

Tools

Epic

Cerner

Meditech

3M Encoder

TruCode

Job description

We are seeking a detail-oriented and experienced Same Day Surgery (SDS) Medical Coder to accurately review, assign, and validate medical codes for outpatient surgical procedures. The ideal candidate has strong knowledge of CPT, ICD-10-CM, HCPCS Level II, and payer-specific coding guidelines to ensure accurate reimbursement and regulatory compliance.

Key Responsibilities

• Review operative reports, physician documentation, anesthesia records, and supporting medical records to assign accurate diagnosis and procedure codes.
• Accurately code outpatient and ambulatory surgery cases using ICD-10-CM, CPT, and HCPCS Level II coding systems.
• Ensure compliance with AAPC, AHIMA, CMS, NCCI edits, OIG regulations, and payer-specific coding guidelines.
• Identify missing, incomplete, or conflicting documentation and coordinate with providers for clarification when necessary.
• Apply appropriate modifiers to ensure accurate reimbursement.
• Review coding edits and resolve coding-related denials or claim rejections.
• Maintain productivity and quality standards established by the organization.
• Participate in coding audits, education sessions, and quality improvement initiatives.
• Stay updated on annual coding guideline changes, payer policies, and regulatory requirements.
• Collaborate with physicians, clinical staff, auditors, and revenue cycle teams to improve coding accuracy and documentation quality.

Qualifications

• Active CPC, CCS-P, CCS, or COC certification.
• Minimum of 2 years of Same Day Surgery (SDS) or Outpatient Surgery coding experience.
• Strong knowledge of:
  • CPT Coding
  • ICD-10-CM
  • HCPCS Level II
  • National Correct Coding Initiative (NCCI)
  • CMS Outpatient Prospective Payment System (OPPS)
• Experience with electronic health record (EHR) systems such as Epic, Cerner, Meditech, or similar EMRs is preferred.
• Familiarity with encoder software such as 3M Encoder or TruCode is an advantage.
• Strong analytical, problem-solving, and attention-to-detail skills.
• Excellent written and verbal communication skills.
• Ability to work independently while maintaining productivity and quality standards.

Preferred Experience

Experience coding surgical specialties including, but not limited to:

• General Surgery
• Orthopedic Surgery
• Gastroenterology
• Urology
• ENT
• Gynecology
• Ophthalmology
• Plastic Surgery
• Pain Management
• Cardiovascular Procedures

Key Competencies

• Medical Coding Accuracy
• Regulatory Compliance
• Clinical Documentation Review
• Revenue Cycle Management
• Critical Thinking
• Time Management
• Quality Assurance
• Collaboration and Communication
• Continuous Learning

Success Measures

• High coding accuracy and audit scores.
• Productivity goals consistently achieved.
• Low coding-related denial rate.
• Compliance with organizational and regulatory standards.
• Timely completion of coding assignments while maintaining quality.