Medical Coder

We are currently seeking Medical Coder (Auditor) to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Auditor is responsible for analyzing and interpreting and assign the correct codes for the descriptions available on various medical

procedures and diagnosis and other related medical coding as per the medical policy

requirements.

JOB RESPONSIBILITIES:

Perform daily audits on client data for completeness and accuracy of coding utilizing

both coding and clinical background to ensure appropriateness for reimbursement

Respond to provider appeals

Respond to client logics and record reviews

Monitor acceptance rates for assigned clients and assist management in proactively

detecting negative deviations

Reports his/her work performance on a timely basis to the team lead

KEY QUALIFICATIONS:

CIC, CCS, certification is required.

Minimum of 1-2 years of experience in medical coding with a focus on DRG (Diagnosis-Related Group) coding

Experience in US Healthcare, medical coding, medical billing, and Revenue Cycle Management (RCM) within health plan operations is strongly preferred.

Proficiency in healthcare claims payment policies and processing, including a deep understanding of CMS (Centers for Medicare & Medicaid Services) and Medicaid regulations, ICD-10 CM (International Classification of Diseases, 10th Edition, Clinical Modification), and DRG Expert guidelines.

WHAT'S IN IT FOR YOU

40K to 80K salary based on your experience

HMO Day 1 (up to 3 dependents)

Personal Accident Insurance

Life Insurance

Paid Sick and Vacation Leaves

Mandated Government Benefits

Be trained by a strong learning and development team

Currently not available in Cebu

We are also offering a relocation package just for you!

If you are a certified Medical Coder with diagnosis-related group coding experience and meet the qualifications listed above, we encourage you to apply for this position. Join our team in Cebu City, and help ensure the accuracy and compliance of medical coding practices.

To Apply:

Please send your resume to [Confidential Information] and Include Medical Coder - Cebu in the subject line. We look forward to reviewing your application and welcoming you to our team.