
Certified Medical Coder
- Philippines
- US$10.00 per hour
- Permanent
- Full-time
- Revenue Cycle Management: Oversee end-to-end billing and coding operations, including claims submission, payment posting, denial management, collections, and appeals.
- Coding & Compliance: Accurately apply CPT, ICD-10, and HCPCS codes while ensuring compliance with Medicare, Medicaid, and commercial payer policies, as well as HIPAA regulations.
- Claim Scrubbing & Appeals: Actively review claims for accuracy, scrub errors before submission, and manage appeals for denied claims.
- Process Improvement: Identify inefficiencies in billing workflows and implement strategies to streamline operations, reduce denials, and improve cash flow.
- Denial & A/R Management: Monitor denial trends, track accounts receivable, and develop corrective actions to optimize collections.
- Patient Billing: Ensure clear communication with patients regarding billing statements and financial responsibilities.
- Reporting & Analysis: Generate, review, and analyze revenue cycle reports; present financial performance insights and recommendations to leadership.
- Technology Optimization: Work with Athena EHR or similar practice management systems to improve reporting, data accuracy, and system integration.
- Active Coding Certification (CPC, CCS, or equivalent) required.
- Bachelor’s degree in healthcare administration, finance, or a related field preferred.
- 3–5 years of experience in medical billing, coding, and revenue cycle management (sleep medicine or specialty practice experience preferred).
- Strong knowledge of payer guidelines, CPT/ICD-10 coding, and reimbursement policies.
- Hands-on experience in claim scrubbing, denial management, and appeals.
- Proficiency with Athena EHR (highly preferred).
- Excellent analytical, organizational, and communication skills.
- Ability to lead a team while also working independently in a remote setting.
- 100% remote work environment.
- Stable, full-time position
- Uup to $10/hr
- Supportive leadership and a collaborative team culture.