Senior Medical Coder — Revenue Cycle & Compliance

Amazon

Philippines

On-site

PHP 360,000 - 540,000

Full time

5 days ago
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Job summary

AOSP - Manila is seeking an experienced Medical Coder to support Revenue Cycle Management for Commercial Health operations in Pasay City. You will review, validate, and ensure accuracy of professional fee coding in a commercial payer environment, contributing to clean claim submissions and revenue integrity.

You will work with Clinical and RCM partners, maintain CPT/ICD-10-CM knowledge, and support audits and provider education to improve documentation quality and reimbursement outcomes.

Qualifications

  • CPC or CCS certification required and current.
  • 1+ year outpatient or risk adjustment coding experience.
  • Knowledge of CPT, ICD-10-CM, E/M guidelines and payer policies.
  • Ability to review charts for HCC risk adjustment.
  • Experience in a coding production environment.
  • Strong written and verbal communication.

Responsibilities

  • Support clean claim submission and optimal reimbursement across services.
  • Manage coding initiatives and daily production to meet quality standards.
  • Maintain knowledge of CPT, ICD-10-CM, E/M guidelines and payer policies.
  • Assign accurate diagnosis, CPT/ICD-10 codes and modifiers.
  • Review coding inquiries and payer responses within SLAs.
  • Work with Revenue Cycle teams to reduce errors and improve payments.
  • Analyze denial trends and provide insights to leadership.
  • Support audits and provider education to improve documentation quality and reimbursement outcomes.

Skills

CPC/CCS coding knowledge
Reimbursement methodologies
HCC risk adjustment understanding
Attention to detail
Communication skills

Education

CPC certification through AAPC
CCS certification through AHIMA
CRC license (within 1 year, sponsorship)

Tools

Microsoft Office
PowerPoint
Google Suite

Job description

AOSP - Manila is seeking an experienced Medical Coder to support Revenue Cycle Management for Commercial Health operations in Pasay City. You will review, validate, and ensure accuracy of professional fee coding in a commercial payer environment, contributing to clean claim submissions and revenue integrity.

You will work with Clinical and RCM partners, maintain CPT/ICD-10-CM knowledge, and support audits and provider education to improve documentation quality and reimbursement outcomes.

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