Certified Medical Coder

Summary

Join MedCore Solutions, a medical billing division of Bizforce, as a Medical Coder and work remotely from home in the Philippines. You will translate patient medical documents into medical codes for insurance claims, liaise with clients and team members, perform audits, and maintain a tracking system. MedCore partners with major healthcare platforms and offers opportunities for career advancement. The position requires AAPC/AHIMA certification, 3-5 years of clinical experience, and knowledge of US insurance plans and HIPAA. Benefits include permanent work-from-home, weekly paychecks, fixed weekends off, HMO reimbursement, and specialized training programs.

Requirements

• Must be AAPC/AHIMA certified coder
• At least 3-5 years of clinical experience in Medical Coding
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)

Responsibilities

• Translate details from a patient's medical documents into medical codes for health insurance claims purposes
• Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD-10-CM, CPT, and HCPCS codes to diagnoses, treatments, and procedures
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Identify inconsistencies or incomplete documentation and work with healthcare providers to correct them
• Clarify documentation discrepancies by consulting with physicians and other healthcare providers
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards
• Suggest improvements to documentation processes for clearer coding

Benefits

• Permanent Work From Home
• Weekly Paychecks
• Fixed Weekends Off
• HMO Reimbursement on your 90th day
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary