Makati City Jobs Medical Coder – Inpatient- Cic (onsite) Position at KMC Solutions

Job Info

Company	KMC Solutions
Position	Medical Coder - Inpatient- Cic (onsite)
Region	Makati City
Career Level	1-4 Years Experienced Employee
Work Experience	2 years
Qualification	Not Specified
Type of Work	Full-Time
Minimum Salary	PHP 50.000
Maximum Salary	PHP 90.000

Under the direct supervision of the Project Director/Revenue Cycle Director, the Certified Coding Specialist is responsible for the day-to-day activities and resolution of assigned medical claims including denied, unpaid and underpaid accounts. The Certified Coding Specialist will utilize their skills in denial analysis and resolution of coding related assigned accounts based on contractual obligations.

Key Responsibilities:

The Certified Coding Specialist is responsible for the following areas:

• Reviews inpatient medical records and assigned ICD-10-CM and PCS codes for

diagnosis, procedures, POA, etc. as assigned

• Thorough understanding and application of medical necessity, and DRG Coding

• Serve as a coding expert working with the Project Supervisor/Manager to ensure compliance with Official Coding Guidelines for Coding and Reporting, coding conventions and regulatory oversight agencies.

• Communicates directly with physicians for clarification as needed.

• Use of Coding applications like 3M, Encoder pro, Codify, etc. may be required.

• Responds to requests for data/information, such as outstanding queries, denials due to coding, coding accuracy rates in a timely manner.

• Make internal recommendations, or recommendations to client on additional coding opportunities/corrections.

• Provides coding expertise to staff members as needed on all issues relating to the accurate and proper coding of patient medical information on bills submitted to Medicare, Medicaid,

commercial insurance providers, self-pay or any other third-party payers.

• Review remittance advices for denials and trends for the payers assigned. Referring all payer issues/problems to Leadership in a timely manner, making recommendations to the Certified Coding Specialist Job Description

Project Director/Revenue Cycle Director for resolution and elimination of denials where possible.

• Researching, reviewing and adhering to all federal, state and local regulatory guidelines, as well as payer specific billing and coding guidelines.

• Participate in special projects or other responsibilities as needed or assigned.

• Follows Greenstone rules, policies, procedures, applicable laws and standards.

• Practice HIPAA compliance

• Attend staff and other professional meetings, including technical or professional classes, workshops or seminars, to exchange information and improve technical or professional skills.

Qualifications:

• High School Diploma or equivalent.

• Minimum 2 – 4 years of experience in hospital medical coding

• Successful completion of a certification program from AHIMA or AAPC

• Strong knowledge of Anatomy, Physiology and Medical terminology

• Ability to apply analytical and critical thinking in medical records reviews

• Knowledge in CMS Medicare and Medicaid guidelines.

• Good verbal / written communication skills.

• Ability to use a computer, facsimile and copy machine.

• Intermediate Microsoft Office skills (Excel, Word, Outlook).

• During your first 6 months of employment, you must complete 100 hours of specified revenue cycle education including HBS’ Revenue Cycle Library I, Revenue Cycle Library II, and Revenue Cycle Library II. Employees promoted from a CDRS I position will have fulfilled this requirement prior to promotion to a CDRS II.

• You must complete 10 hours of continuing education per year. For calculation purposes, each year is calculated from July 1 to June 30.

A successful candidate should be prepared to submit and complete the following as part ofonboarding requirements.

• Scanned copy of valid NBI Clearance

• Accomplished Medical or PEME Slip

• 2×2 & Half body picture with white background

• Proof of government numbers (TIN, SS, Pag-ibig, & Philhealth).

• Photocopy of 2 valid IDs – front & back (government-issued)

• Clear copy of your Birth Certificate (PSA or NSO)

• Accomplished HR Forms & Promissory Note (will be provided by KMC’s Onboarding Team)

Click https://bit.ly/KMCOnboardingRequirements to view the complete list of KMC’s pre-employment requirements.

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Company Description

Company Info

• Industry: Call Center/IT-Enabled Services/BPO
• Company Size: More than 5000 Employees
• Average Processing Time: 24 days
• Benefits & Others: Dental, Miscellaneous allowance, Medical, Loans, Regular hours, Mondays - Fridays, Business Casual Attire
• Specific Location: Bonifacio Global City (BGC)