Education and Certification:

● Must be a graduate in any Life sciences- Physiotherapy, Pharmacy, Nursing, Biosciences with Anatomy/physiology as a subject.

● Experience in E&M Specialty Coding- Outpatient, Inpatient, observation, Critical care facilities using ICD, Modifiers, CPT, HCPCS codes.

● Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained before hire or job transfer. All specialties accepted.

● Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained before hire or job transfer.  

● Preferred RHIA/RHIT as additional certification.

Requirements:

● Should have experience in E & M Specialty Coding- Outpatient, Inpatient, observation, Critical care

facilities using ICD, Modifiers, CPT, HCPCS codes.

● Must have a minimum of experience of at least 6 years in a Coding/Auditing role, preferred in E&M

inpatient and/or outpatient medical record review, coding, and reimbursement. Additional

specialty experience is preferred.

● With a minimum of 1 year of experience in team handling.

● Must have strong knowledge of ICD-10-CM/PCS and CPT coding and prospective payment

systems and proficiency with Microsoft Windows operating systems and Office applications,

such as Word, Excel, and PowerPoint

● Able to work well with minimal supervision.

● Able to communicate clearly both in writing and verbally.

● Able to generate reports for management review that clearly present audit results.

● Able to meet deadlines and respond well to frequent changes in regulation.

● Able to maintain positive and productive relationships with internal and external teams and

customers.

● Able to work independently and be a self-starter.

● Excellent people management skills.

● Willing to work on-site in Taguig

● Must be amenable to attend for an onsite assessment

Responsibilities:

Roles & Responsibilities:

 Handle day-to-day operations of the Coding Services of the team

 Ensure team delivers 100% of productivity and quality per client requirement.

 Ensure excellent team utilization based on the volume/attendance /attrition.

 Identify the gaps in team by analysis and give corrective solution

 Facilitate process improvements

 Support coding team by discussing complex coding cases, answering questions, providing

education and interfacing with both company and client leadership

 Participate in client calls and relays the information to the team members.

 Creates update tracker and responsible for updating the team on trends and changes.

 Provides feedback & coaching on common error scenarios

 Performs review of claims denied/rejected for coding, documentation and clinical validation.

 Prepares reports for management review and identifies trends.

 Conducts focused retrospective audits and regular scheduled audits of individual coders.

 Conducts regular feedback session and one on one with team members