Work setup: 100% onsite on any of the locations (Angeles City / Subic)
Work Schedule: Dayshift schedule with fixed weekends off (shift may vary depending on the client assigned but no chances on going on night shift)
Responsibilities:
- Thoroughly review medical records to precisely assign ICD-10 diagnoses and procedure codes, ensuring the correct MS-DRG or APR-DRG classification.
- Efficiently abstract essential data in line with facility guidelines.
- Proactively monitor and manage accounts like Discharged, Not Final Billed, Failed Claims, and Stop Bills to guarantee prompt and compliant inpatient billing processes.
- Consistently maintain high accuracy while meeting quality, productivity, and performance benchmarks using 3M 360 or eCAC systems.
- Keep yourself informed on the latest CMS requirements, CCI edits, HACs, and relevant NCDs and LCDs, including the proper application of modifiers to ensure clean claims.
Minimum Qualifications:
- At least 3 years of recent experience as a medical coder doing hardcoding for Inpatient cases
- At least 3 years of experience using Epic and/or Solventum (3M tools)
- With any of the following certifications: CCS, RHIT, or RHIA [CIC can be considered if all other requirements are met]
- Bachelor's degree in Nursing or related Allied Medical field.
- Strong knowledge of Coding Clinics and ICD Guidelines, including newborn charts.
- Experience with MS-DRG, APR-DRG, PCS, PDX, and CC/MCC sections.
- Proficient with 3M or similar medical coding tools and willing to complete assessment.
- Willing to work on-site in Clark, Pampanga or Subic, Zambales.
- Able to either go onsite for the coding assessment or take it online strictly within the 9:00 am to 11:00 am or 4:00 pm to 7:00 pm timeframe, Monday to Friday
- Available to start within 30 days of job offer acceptance.