Virtual Medical Coder

This role is ideal for someone detail-oriented and passionate about supporting healthcare delivery through accurate coding and thorough documentation. It involves working remotely to review medical records, ensure proper coding for billing and compliance, and support care teams with timely, organized information. Requires strong attention to detail, knowledge of medical terminology and coding systems, and effective communication skills.

Job Responsibilities:

• Reviews and analyzes patient medical records to identify accurate diagnoses, procedures, and treatments using ICD-10, CPT, and HCPCS coding systems.
• Abstracts relevant clinical information and assigns appropriate codes for billing and reporting purposes.
• Ensures all coding practices comply with payer policies, federal regulations, and industry standards, including HIPAA.
• Enters coded data into electronic health records (EHR) and billing platforms with accuracy and efficiency.
• Communicates with healthcare providers to clarify clinical documentation and support accurate code assignment.
• Keeps current on coding updates, payer guidelines, and healthcare reimbursement policies.
• Participates in internal audits and quality improvement initiatives to support clean claims and reduce denials.
• Assists in educating providers on documentation improvement opportunities and best practices.
• Supports the revenue cycle team in denial management and coding-related queries.
• Maintains a high level of confidentiality and professionalism in handling patient information.
• Performs other duties as assigned in support of the virtual care team and medical billing operations.
• Responds to Care Team needs

Job Qualifications:

• Knowledge of medical office procedures.
• Skill in operating a computer.
• Skill in answering the telephone in a pleasant and helpful manner.
• Ability to work under pressure and still maintain accuracy.
• Ability to establish and maintain effective working relationships with patients, employees, and the public.
• Knowledge of commercial, Medicare, and Medicaid insurance procedures.

Education And Experience:

• Highly proficient in English speaking and writing
• Certification from AAPC (e.g., CPC) or equivalent required.
• Proficiency in ICD-10, CPT, and HCPCS coding guidelines..
• Proficient in EHR systems and coding software tools.
• Minimum 1 year work experience, in a US virtual medical office setting.
• Training specific in medical terminology, insurance requirements, customer service is highly desirable.
• Credentialing experience a plus

Big Plus:

• Medical Coding experience
• Strong working knowledge of medical terminology, anatomy, and physiology.
• Familiarity with provider credentialing and denial resolution processes.
• Experience with inbound/outbound patient or provider communications.

Salary:

• Market competitive, based on experience. (Salary typically ranges in 30k-45k PHP)

Shift:

• USA business hours
• Weekend work may be required.

Job Type: Full-time

Pay: Php30,000.00 - Php45,000.00 per month

Benefits:

• Opportunities for promotion
• Work from home

Application Question(s):

• [MANDATORY ANSWER] What is your expected monthly salary in PHP?
• [MANDATORY ANSWER] Do you have U.S. Dr. Office experience?

Experience:

• Medical Coding: 1 year (Preferred)

License/Certification:

• Certification from AAPC (e.g., CPC) or equivalent (Required) (Required)

Work Location: Remote