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    • This solution is utilized by medical insurance payers across the United States.
    • 4 years experience in medical billing, coding, claims processing, bill and/or…
    • View all Freelancing Philippines jobs - Work from Home jobs - Coding Specialist jobs in Work from Home
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    • Bachelor's degree in medical records or medical allied field.
    • At least 1 year of experience as Inpatient medical coding.
    • Graduate of BS Nursing or any medical allied course.
    • Knowledge of cardiology coding, cardiovascular anatomy, medical terminology, and cardiac devices.
    • Bachelor's degree in medical records or medical allied field.
    • At least 1 year of experience as Inpatient medical coding.
    • ✅ Minimum 2+ years of U.S. medical coding experience.
    • ✅ Experience reviewing clinical documentation and assigning accurate medical procedure and diagnosis…
    • At least 2 years of Professional Fee medical coding experience.
    • Active medical coding certification (CPC, CCS-P, COC, or CCS).
    • Responsible for making recommendations within the software for the denial of diagnosis, age, or other criteria on medical claims based on coding guidelines.
    • Confirm authorization, referral, and payer-specific requirements based on service line.
    • This role ensures accurate provider credentialing, insurance…
    • At least 2 years of Professional Fee medical coding experience.
    • Active medical coding certification (CPC, CCS-P, COC, or CCS).
    • Experience with medical charge entry and/or charge review.
    • Minimum of two (2) years of experience supporting U.S. medical billing or revenue cycle operations.
    • Request, review, and validate medical bills and medical records from healthcare providers.
    • Experience in U.S. medical billing, medical coding, claims processing…
    • Prior experience as a home health coder, reviewer, or QA specialist.
    • Familiarity with Medicare/Medicaid home health regulations.
    • We are seeking a detail-oriented and experienced Medical Coder with strong expertise in denial management, charge corrections and professional billing.
    • Experience with outpatient or physician-based medical coding.
    • Experience working with U.S.-based healthcare providers or medical practices.
    • Years of experience as a Profee coder:
    • Familiarity with EHR platforms and medical coding systems.
    • At least 2 years of Professional Fee medical coding experience…

Job Post Details

Outpatient Medical Coder [WFH]
Freelancing Philippines
·
4.4
Remote
PHP 70,000 - PHP 80,000 a month
Permanent
Apply now

Job details

PHP 70,000 - PHP 80,000 a month
Permanent
Remote

Full job description

About the role

The Medical Content Analyst 3 will research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution. This solution is utilized by medical insurance payers across the United States. The clinical content could include additions, deletions or updates to diagnosis codes, procedure codes, minimums & maximums, quantity limitations, place of service limitations and other clinical content criteria.

Key responsibilities

  • Research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution
  • 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
  • Perform data entry of clinical content updates into database, as needed
  • Solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within Lyric business rules

About you

  • BS Nursing, BS Pharmacy or equivalent required
  • 4 years experience in medical billing, coding, claims processing, bill and/or chart review/auditing required
  • Previous experience working with US health insurance payers in a claims, appeals or coding capacity required
  • Experience in denial management or claim review management is a plus
  • Excellent communication skills (verbal and written) enabling effective communication both internally with all areas of the business and externally
  • Demonstrated proficiency with various software applications, including but not limited to: MS Word, MS Excel, MS Access, Visio, JIRA, Sharepoint with MS project a plus
  • AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC) required

Pay: Php70,000.00 - Php80,000.00 per month

Work Location: Remote

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