Medical Coder

Summary

Join MedCore Solutions, a leading medical billing company, as a Medical Coder! Work remotely from home in the Philippines, utilizing the latest technology. You will translate patient medical documents into codes for insurance claims, liaise with clients and team members, perform audits, and maintain a tracking system. This long-term position requires AAPC/AHIMA certification, 3-5 years of clinical experience, and strong English communication skills. MedCore offers a rewarding work environment with permanent work-from-home opportunities, weekend offs, and specialized training.

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)
• Device (Desktop or Laptop)
• Processor : Windows Devices : Intel Core i5 (or higher) or AMD Ryzen 5 (or higher). Mac Devices : Apple M1 chip or newer
• RAM : Minimum of 8GB or higher for optimal performance
• Operating System : Windows : Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license. Mac : macOS compatible with M1 or newer chips
• Hard Disk : At least an SSD for faster processing and performance
• Internet Connectivity : Minimum speed of 50 Mbps via a wired connection for stability and reliability. A backup internet connection is highly recommended

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

Preferred Qualifications

A backup power supply (e.g., UPS or generator) to prevent disruptions during power outages

Benefits

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Specialized Training