Outpatient Medical coder (RN)

  • Manila City, Metro Manila
  • Permanent
  • Full-time
  • 13 days ago
Job Summary: This is Work from Office Registered nurse should apply We are seeking a detail-oriented and experienced Outpatient Medical Coder (OP Coder) to accurately review and assign ICD-10-CM, CPT, and HCPCS codes for outpatient medical records. The ideal candidate will ensure coding compliance with federal regulations and payer-specific guidelines to optimize reimbursement and support quality reporting initiatives. Key Responsibilities: Review clinical documentation to assign appropriate diagnostic (ICD-10-CM) and procedural (CPT/HCPCS) codes for outpatient services. Ensure coding accuracy, completeness, and compliance with official coding guidelines, payer requirements, and organizational policies. Work collaboratively with providers and clinical staff to clarify documentation and improve coding accuracy. Abstract key information from medical records for statistical and billing purposes. Stay current with coding updates, regulatory changes, and payer-specific guidelines. Meet productivity and quality standards as defined by the department. Utilize EHR and coding systems such as EPIC, Cerner, 3M, or equivalent. Participate in audits and assist with resolving coding-related denials. Qualifications: High school diploma or equivalent (required); associate's or bachelor's degree in Health Information Management or related field (preferred). Certification Required: CPC, CCS, RHIT, or RHIA. Minimum of 1-2 years of outpatient coding experience (preferably in a hospital or large clinic setting). Strong knowledge of outpatient coding guidelines, including CPT, HCPCS, and ICD-10-CM. Familiarity with NCCI edits, Medicare billing rules, and outpatient reimbursement methodologies. Excellent attention to detail and analytical skills. Strong organizational and time management skills. Preferred Experience: Experience coding for specialty clinics such as orthopedics, cardiology, or radiology. Knowledge of outpatient prospective payment systems (OP Show more Show less

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