Coding Denial Management - CPC Coders with Calling experience

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If you are a certified medical coder with excellent voice, skills, please review the job description below and apply online:

Location: Pasig, Manila

Responsibilities

  • Evaluate and interpret the cause of denied claims in the form of reason codes and initiate timely refiling with accurate code sets in line with payer-specific coding guidelines, in order to ensure optimal reimbursement

  • Review the medical documentation available for various specialties on the revenue cycle system and determine the most appropriate CPT-4/ICD 10 CM /Modifiers and make necessary code corrections based on the denial reason prior to refiling

  • Perform an in-depth review of the denied claims for different fields such as patient’s age, gender, Date of service, Place of Service, medical specialty etc. that have bearing on the selection of appropriate codes while refiling

  • Research, recommend, and appeal claims with sub-optimal reimbursement by providing explanation in the format required by the respective payers, along with supporting medical records as necessary, especially on cases of medical necessity denials

  • Analyze historical coding denial trends categorized by reasons and initiate proactive action plans to prevent the same in the future

  • Maintains high degree of professional and ethical standards

  • Focuses on continuous improvement by working on projects that enables customers to arrest revenue leakage while following the standards

Desired Skills/Traits

  • Graduates in life sciences with 1-2 years of experience in Medical Coding and Denial Management

  • Experience in specialties such as Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, Evaluation & Management (E/M) and others

  • Current coding certification with valid proof of certifications

  • Highly motivated to work in Medical coding domain

  • Willing to work in night shifts continously

Benefits

  • Attractive Salary package

  • Saturday & Sunday fixed off

  • Other Benefits

Walk-in Venue:

Clarus RCM, 11th Floor, 22, Emerald Avenue , Ortigas Center, Pasig City , PH- 1605

Apply Online

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Other ways to apply

Email your Resume

careers@clarusrcm.com

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