Medical Coder
Diversify Offshore Staffing Solutions
- Taguig, Philippines27F Twenty-four Seven Mckinley Bldg., 24th St. corner 7th Ave. Bonifacio Global City, Taguig, Metro Manila, PhilippinesTaguigMetro ManilaPhilippinesPhilippines
- Full timeFULL_TIME
Job closed.
Job Description
Position Overview
The Medical Coder will be responsible for reviewing denied claims for coding and/or billing errors and determining appropriate action. The coder will be responsible for corrections to individual accounts which include CPT and/or ICD 10 correction, application of correct modifiers, etc. The Medical Coder is also responsible for ensuring that government, state, and local guidelines are followed. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers
Role Responsibilities
- Examining medical claims
- Verification of health insurance benefits
- Performing reviews of denied claims (coding and billing) to detect any coding errors and applying appropriate action. CPT, diagnosis, modifier updates.
- Ensure coding guidelines are followed (AMA, Medicare, Medicaid, and private payers).
- Review medical records to verify and substantiate diagnosis and procedures.
- Correcting and resubmitting claims
- Documenting actions taken
- Maintaining quality customer services
- Ensuring legal compliance
Minimum Qualifications
- 1-5 Years’ Experience in Revenue Cycle Management and Certification Billing/Coding.
- CPC or equivalent certification. (AAPC/AHIMA)(CPC-A accepted)
- Prior coding experience preferred
- Knowledge of Medicaid/Medicare guidelines preferred
- Working knowledge of managed care, commercial insurance, Medicare/Medicaid
- Understanding and adherence to HIPAA and PHI guidelines
- Comprehensive knowledge of insurance plans, member eligibility, and medical billing
- Understanding of CPT, ICD-10, UB, HCFA, and 837 terminologies
- Excellent interpersonal and customer service skills
- Detail oriented, strong problem solving, analyzing information and research skills
- Excellent math, verbal and communication skills
- Computer proficiency; experience with financial software,
- Documentation and data entry skills
- Ability to meet productivity goals based on portfolio
- Experience level will be confirmed at the time of hiring based upon factors set forth by the company
- Permanent day shift account but the training will be done in the graveyard shift
- Must be willing to work in the office located at Bonifacio Global City, Taguig City
Jobs Summary
- Job Level
- Entry Level / Junior, Apprentice
- Job Category
- Health and Medical
- Educational Requirement
- Bachelor's degree graduate
- Office Address
- 27F Twenty-four Seven Mckinley Bldg., 24th St. corner 7th Ave. Bonifacio Global City
About Diversify Offshore Staffing Solutions
Diversify OSS is an Australian owned company providing businesses with successful extended or offshore workforce solutions in the Philippines. The Philippines is a competitive labour market with high demand for skilled workers in most fields. In order to realise the full potential of your offshore operations you first need to stand out from the crowd and attract the highest quality potential staff.
Once you have selected the staff you want you then need to ensure that they stay happy, productive, engaged and with you for the longest possible time. Losing your staff because your provider doesn’t properly educate you about the cultural differences or because you staff don’t feel appreciated or part of a team will seriously undermine the effectiveness of your offshoring staffing strategy.
An offshore workforce in the Philippines is a valuable asset to your business and like any asset, it takes some careful planning, investment, attention and most importantly the selection of the right business partner to ensure it delivers.
At Diversify Intelligent Staffing Solutions we value our people. We understand that they are a major reason for our success and continued growth. We realise the importance of keeping our people happy, engaged and comfortable in what they do.
Our focus is on providing a workplace that promotes creativity, teamwork and collaboration. We are a fun, friendly and passionate organisation that takes great pride in the social atmosphere we promote within the workplace, our people work hard but they enjoy what they do and enjoy interacting with their colleagues.