job description
Join our dynamic healthcare team as a Medical Coder (IP/DRG Validation) and play a pivotal role in ensuring accurate medical billing and reimbursement for one of the Philippines' leading healthcare providers. This fully remote position offers the flexibility to work from Bali, Indonesia, while enjoying a competitive salary package of ₱150,000 – ₱200,000 per month plus an attractive ₱200,000 sign-on bonus.
As a Medical Coder, you will be responsible for translating complex medical procedures, diagnoses, and services into standardized codes for billing and data analysis. This role is critical in maintaining compliance with healthcare regulations, optimizing revenue cycles, and supporting data-driven decision-making. With a focus on Inpatient (IP) and Diagnosis-Related Group (DRG) validation, you will collaborate with healthcare professionals to ensure precision and efficiency in medical documentation.
We offer a dayshift schedule with a supportive work environment, opportunities for professional growth, and the chance to work with a team that values accuracy, integrity, and innovation. If you are a detail-oriented professional with a passion for healthcare and coding, this is an excellent opportunity to advance your career while enjoying the work-life balance of remote work in Bali.
Apply now and take the next step in your medical coding career with a company that invests in its employees and rewards excellence!
Responsibility
- Accurately assign ICD-10-CM, CPT, and HCPCS codes to medical diagnoses, procedures, and services for inpatient records.
- Validate and ensure compliance with DRG (Diagnosis-Related Group) guidelines to optimize reimbursement and minimize claim denials.
- Review and audit medical documentation to ensure completeness, accuracy, and adherence to coding standards and healthcare regulations.
- Collaborate with healthcare providers, including physicians and nurses, to clarify documentation and resolve coding discrepancies.
- Maintain up-to-date knowledge of coding guidelines, regulatory changes, and industry best practices to ensure compliance with local and international standards.
- Generate and analyze coding reports to identify trends, errors, and opportunities for process improvement.
- Support revenue cycle management by ensuring timely and accurate submission of coded claims to insurance providers.
- Participate in training and professional development programs to enhance coding skills and stay current with industry advancements.
Qualifications
- Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent is highly preferred.
- Minimum of 2 years of experience in medical coding, with a focus on inpatient (IP) and DRG validation.
- Proficiency in ICD-10-CM, CPT, and HCPCS coding systems and familiarity with medical terminology and anatomy.
- Strong understanding of healthcare reimbursement methodologies and compliance requirements (e.g., HIPAA, CMS).
- Excellent attention to detail and ability to work independently in a remote setting.
- Strong analytical and problem-solving skills to resolve coding discrepancies and improve accuracy.
- Proficient in using electronic health record (EHR) systems and coding software.
- Ability to communicate effectively with healthcare professionals and cross-functional teams.
- Experience working in a fast-paced, deadline-driven environment with a commitment to quality and efficiency.