Medical Coding Specialist

Michael Page

2.9

143 reviews

Job Type   /   Job Level

Full-time   /   Others/Any

Company Location

Philippines

Gain exposure to complex payer policies and Medicare guidelines
Collaborate cross-functionally with clinical and billing professionals

About Our Client

The client is a globally leading healthcare firm based in the US with a shared service operation in the Philippines.

Job Description

Review and validate diagnosis and medication coding for infusion services, especially under payer restrictions
Evaluate payer medical policies and CMS guidelines to assess medical necessity and coverage eligibility
Ensure alignment between clinical documentation and billing codes before services are rendered
Coordinate and ensure proper completion of Advance Beneficiary Notices (ABNs), including correct modifier usage
Apply Medicare guidelines and FDA label coverage criteria in coding decisions
Collaborate cross-functionally with infusion intake, clinical, and billing teams to resolve discrepancies
Identify and escalate complex reimbursement, compliance, or coding issues
Maintain detailed documentation to support audit readiness and compliance
Ensure adherence to regulatory, payer, and internal billing policies
Contribute to process improvements to enhance coding accuracy and reimbursement outcomes

The Successful Applicant

Bachelor's degree in Health Information Management, Medical Coding, or a related field
Certified Professional Coder (CPC) or equivalent certification from a recognised body
1-3 years of experience in medical coding, billing, or revenue cycle operations
Knowledge of coding systems, payer rules, and healthcare workflows
Familiarity with outpatient or ambulatory coding practices
Understanding of reimbursement guidelines and documentation standards
Ability to collaborate effectively with clinical and administrative stakeholders
Exposure to government payer guidelines and compliance requirements

What's on Offer

Exposure to specialised coding practices and payer policy interpretation
Collaborative and process-oriented team culture
Competitive compensation aligned with industry standards

Contact:

Quote job ref: JN-062026-7039918

Jobs in Philippines » Jobs in Taguig, National Capital Region, Philippines » Medical Coding Specialist

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Medical Coding Specialist

Michael Page

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