Senior Medical Coder — ICD-10-CM, CPT & E/M Specialist

ADEC Innovations; Muntinlupa; Sur place; PHP 400 000 - 600 000; Plein temps

Résumé du poste

ADEC Innovations is seeking an experienced Medical Coder to review clinical documentation and assign ICD-10-CM, CPT, and HCPCS codes for healthcare services, ensuring compliance with coding guidelines, payer requirements, and regulatory standards.

This role requires on-site mornings, AHIMA or AAPC certification, 3+ years of coding experience, and proficiency with Epic or 3M Encoder to support revenue cycle integrity.

Qualifications

• Bachelor's degree in a medical allied field or related healthcare area.
• Active AHIMA or AAPC certification (CPC, CCS, CCS-P, COC, CIC, RHIT, RHIA).
• Minimum of 3 years of recent medical coding experience in professional or facility settings.
• Strong knowledge of ICD-10-CM, CPT, HCPCS Level II, E/M coding, modifiers, NCCI edits, OPPS, and payer guidelines.

Responsabilités

• Assign accurate ICD-10-CM, CPT, HCPCS, E/M codes, and modifiers.
• Review medical records to ensure proper code selection and documentation support.
• Validate medical necessity, charge capture, claim accuracy, and reimbursement requirements.
• Research and resolve coding edits, denials, and documentation discrepancies.
• Collaborate with providers and billing teams to ensure coding compliance and revenue integrity.
• Maintain productivity and quality while complying with HIPAA and policies.

Connaissances

Medical coding

HIPAA compliance

Analytical skills

Communication skills

Formation

Bachelor's degree in healthcare field

Outils

Epic

3M Encoder

Description du poste

ADEC Innovations is seeking an experienced Medical Coder to review clinical documentation and assign ICD-10-CM, CPT, and HCPCS codes for healthcare services, ensuring compliance with coding guidelines, payer requirements, and regulatory standards.

This role requires on-site mornings, AHIMA or AAPC certification, 3+ years of coding experience, and proficiency with Epic or 3M Encoder to support revenue cycle integrity.