JOB TITLE: Outpatient Medical Coders

Required experience: 6 months -12 months in Outpatient coding.

Work Shift: Night 9 am to 6 pm

Education: Any life science background

Non-certified preferable

Salary: 35K to 50K basic.

RESPONSIBILITIES:

Review claims for errors and rejections and correct them as needed.

Should be excellence in National Correct Coding Initiative (NCCI) Edits, Global Edits, and Correct Coding or ICD-10-CM Edits.

Should be able to code ICD 10/CPT/HCPS codes to ensure revenue codes are appropriate.

Should handle custom edits cover additional requirements including payer, specialty, provider, or location specific edits.

Should handle edits that are sourced and explained at the level of code-to-code relationships and based on American Medical Association CPT guidelines, CMS guidelines, Correct Coding Initiatives, commercial and Medicare code sets, medical societies, and other widely accepted third-party sources.

Review medical records and obtain necessary information to support valid code series.

COMPETENCIES, SKILLS AND OTHER REQUISITES:

Excellent written and spoken English

Unflinching integrity and personal work ethics

Self-starter who strives for self and team excellence

Flair for client satisfaction

Attention to detail and concern for accuracy

Excellent time management skills and multi-tasking ability

Excellent team player

Compliant to rules and regulations

ACADEMIC AND PROFESSIONAL BACKGROUND

Any graduate with good domain knowledge

Minimum 1-year experience in the respective specialty

Certification is not mandatory, but an added advantage if certified.

COMPLIANCE

 Awareness and implementation of ISO, ISMS and GRIC policies

 Adherence to the rules and regulations as outlined by the management.

JOB LOCATION – Manila, Philippines

ASSESSMENT / INTERVIEW PROCESS:

1. Personal Interview (HR)

2. Domain Panel Interview

3. HR Discussion