Senior Medical Coder (Automation) | Sign on Bonus!

MicroSourcing; Manila; On-site; PHP 420,000 - 540,000; Full time

Benefits offered by this job

Sign-On Bonus (1 month salary)

Healthcare coverage from day one

Dependent coverage

Paid time off with cash conversion

Group life insurance

Performance bonuses

Job summary

MicroSourcing seeks a Senior Medical Coder (Automation) to validate AI-driven coding outputs and ensure CPT/ICD-10-CM/HCPCS accuracy for US payers. The role bridges clinical coding with AI, supporting claims editing and regulatory alignment.

You will collaborate with Clinical, Technical, and Product teams in a remote night-shift setup, applying 5+ years of coding experience and CAC/NLP tools to improve model performance.

Qualifications

• Bachelor’s degree in health information management, Nursing or other Healthcare related degree required.
• Active CPC/CCS-P/CCS certification(s) preferred.
• Minimum 5 years healthcare experience, incl. 3 years in medical coding, chart review or auditing.
• Understanding of US payer types (Commercial, Medicare, Medicaid).
• Strong medical terminology and anatomy knowledge.
• Familiarity with CAC or NLP AI tools for coding.
• Proficiency in Microsoft applications.

Responsibilities

• Review and validate AI-generated CPT, HCPCS, ICD-10-CM and related data.
• Verify adherence to coding guidelines and data extracts from AI.
• Identify AI data anomalies and provide feedback to improve models.
• Stay updated on medical coding and billing regulatory changes.
• Help develop coding guidelines for AI-assisted workflows.
• Validate policy or rule suitability criteria.
• Serve as SME in cross-functional teams.

Skills

Medical coding

Chart review

Auditing

Abstraction

Education

Bachelor’s degree in health information management or Nursing

Tools

CAC (Computer-Assisted Coding)

NLP platforms

Job description

Discover your 100% YOU with MicroSourcing!

Sign-On Bonus: Earn a bonus equivalent to 1 month’s salary upon joining!

Position: Senior Medical Coder (Automation)

Work setup & shift: Work From Home | Night Shift

Why join MicroSourcing? You'll have:

• Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses

A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.

• Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
• Career Growth: Take advantage of opportunities for continuous learning and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Summary

The Content Innovation team is integral to the success of the content development process of Lyric and the expansion of our claims editing solutions. This team member will support development and optimization of AI-driven healthcare solutions. This role bridges clinical coding expertise with artificial intelligence, ensuring that model outputs are accurate, compliant and aligned with claims editing.

• Review and validate AI generated CPT, HCPCS, ICD10CM and other claim data set elements.

• Verify coding or billing guidelines and other data extracts from AI to confirm accuracy in accordance with coding parameters.
• Identify any AI data extract anomalies or defects.
• Provide accurate and timely feedback to AI to improve model performance.
• Remain informed with medical coding and billing regulatory changes to contribute continuous improvement of AI tools.
• Participate in the development of coding guidelines for AI-assisted workflows.
• Validate criteria for policy or rule suitability
• Serve as a subject matter expert (SME) in cross-functional team with Clinical, technical, and product stakeholders.

Required Qualifications

• Bachelor’s degree in health information management, Nursing or other Healthcare related degree required
• Active American Academy of Professional Coders (AAPC) Certified Professional Coders (CPC) certification or American Health Information Management Association (AHIMA) Certified Coding Specialist-Physician (CCS-P) or Certified Coding Specialist (CCS)
• Minimum of 5 years of relevant healthcare experience, including at least 3 years in medical coding, chart review, auditing, or abstraction. Must demonstrate proficiency in applying CPT, ICD-10-CM, and HCPCS coding conventions, including translating clinical documentation into appropriate codes.
• Understanding of US health insurance payers including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes)
• Strong grasp of medical terminology and human anatomy
• Familiarity with AI-driven tools such as Computer-Assisted Coding (CAC) or Natural Language Process (NLP) platforms
• Proficiency in Microsoft applications
• Proficiency in Microsoft applications About MicroSourcing With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines. Our commitment to 100% YOU MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive. At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%! For more information, visit https://www.microsourcing.com/ *Terms & conditions apply