Medical Claims Coding Analyst | Night Shift | Eastwood Site

MicroSourcing


Date: 3 weeks ago
City: Quezon City
Contract type: Full time
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Position: Senior Medical Claims Coding Analyst

Location: Global One, Eastwood, Quezon City

Work Set-up & Shift: On-Site & Night Shift

Your Role

  • In-charge of overseeing the PH Medical Claims Coding Team (Medical Claims Coding Analysts)
  • Providing coding updates to the billing department as well as dissemination of said information to US Coding Team Lead so they can compile said information and disseminate to insurance providers.
  • Responsible for Charge Review:

○ In charge of Phototherapy and PALLAS charges

○ Simple E/M only visits

  • No modifiers

○ Simple E/M visits with single procedure done

  • Only modifier 25 is applicable and strictly one procedure only.
  • Compile coding errors to be used as material for training
  • Track coding issues and provide weekly feedback to the Coding Team Lead/Manager

Required Qualifications

  • Bachelor's Degree in Nursing.
  • At least 3 years of experience or background knowledge in Charge Review/Coding, E/M visits, CPT Coding, claims/denials management.
  • Experience in using EMR systems (e.g., EPIC)
  • Excellent Communication Skills (both written and verbal)
  • Excellent data entry skills with high level of accuracy and attention to detail.
  • Excellent planning, organization and time management skills.
  • Amenable to Work on Night Shift.
  • Amenable to Work On-Site (Eastwood Site).

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