Certified Medical Coder

apartmentOptum Global Solutions (Philippines) placeCebu calendar_month 

Job Description

Roles and responsibilities
  • Translate doctor's notes and medical records into universal codes used by insurance companies and healthcare systems
  • Make sure healthcare services are coded accurately so that billing is correct and providers get paid properly
  • Use your knowledge of medical terms and guidelines to ensure everything is precise and compliant
  • Play a crucial role behind the scenes in making the healthcare billing process work smoothly
  • Adhere to and maintain required levels of performance in both Coding accuracy and productivity. Abstract additional data elements during the Chart Review process when coding
  • Identify appropriate assignment of CPT and ICD-9 Codes for Physician and facility services provided in an Observation service setting, and Inpatient setting. Provide documentation feedback to Providers
  • Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, among others
Qualifications
  • With active AHIMA or AAPC Medical Coding Certification (CPC-A, CPC, CIC, CCS, COC)
  • Experience in coding from paper charts as well as EMR
  • Understanding of ICD-9 or ICD-10 Coding in relation to HCC/Risk Adjustment Coding
  • Onsite attendance is required during training; Hybrid work arrangement thereafter
Spotlight
  • Retirement benefits, Health & insurance, Health insurance
apartmentQBE InsuranceplaceCebu City
Primary Details Time Type: Full timeWorker Type: EmployeeThis role is responsible in ensuring all claims are injury coded in line with Company guidelines. This role is responsible for keeping service levels within target. Strategy and Planning
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