Coding Specialist (Healthcare - US Based Client)

Intelassist


Date: 3 weeks ago
City: Quezon City
Contract type: Full time
Position Overview

We are currently seeking a Certified Coding Specialist and Auditor to join our Team. The Certified Coding Specialist and Auditor provides data and reports to management related to coding and claims for Doctors Care patient encounters. The Specialist educates medical and clinic staff on medical coding and documentation requirements.

Key Responsibilities

  • Perform audits and reviews of coding for accuracy and compliance with industry standards and guidelines.
  • Analyze and report coding trends and discrepancies to management.
  • Educate and train clinical and administrative staff on correct coding, documentation standards, and updates.
  • Collaborate with internal teams to resolve coding-related issues and provide clarification as needed.
  • Ensure appropriate sequencing of ICD-9/10-CM codes, CPT, and HCPCS codes.
  • Stay up to date on current coding guidelines, payer rules, and regulatory changes.

Job Requirements

  • High School diploma or equivalent
  • Two (2) years coding experience post certification
  • Medical Coding Certification from AHIMA or AAPC
  • Knowledge of insurance filing, coding, collections and billing policies and procedures
  • Knowledge of the ICD9/10-CM, HCPCS, and CPT-4/5 nomenclature, coding rules and guidelines
  • Ability to properly sequence ICD-9/10-CM codes
  • Advanced understanding of medical terminology and body systems/anatomy and physiology and concepts of disease
  • Ability to elicit cooperation from and work in a cooperative manner with professionals and non-professional associates
  • Dependable in both production and attendance
  • Ability to adapt to new software programs

An Ideal Candidate Would Also Have

  • Bachelor’s degree or equivalent
  • 5+ years’ experience healthcare coding with certification
  • Working knowledge of Cerner EMR
  • Billing experience is a plus

WHY INTELASSIST?

We grow together. We value your effort. We aim to empower you.

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