Medical Coder

Role: Medical Content Analyst

Schedule: Night shift

Setup: work from home

Location: Taguig City

Employment: Fulltime/Regular

Job Description

• Provide additions, deletions or updates to diagnosis codes, procedure codes, age minimums & maximums, quantity limitations, place of service limitations and other clinical content criteria
• Provide written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain consensus on proposed denial criteria
• Provide clinical content support to our customers as needed

Job Qualifications

• BS Nursing or equivalent required
• Has Coding certification (CPC,CPCA, AAPC,)
• Has experience in medical billing, coding, claims processing, bill and/or chart review/auditing, is required. Previous experience working with US health insurance payers in a claims, appeals or coding capacity is also required