SDS Medical Coder

  • Muntinlupa City, Metro Manila, Philippines, Philippines
  • Full-Time
  • On-Site
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Job Description:

Role: Medical Coder

Job Summary

We are seeking a detail-oriented Medical Coder to review patient medical records and assign accurate diagnosis and procedure codes in accordance with ICD-10-CM, CPT, and HCPCS guidelines. The role supports compliance with regulatory standards and ensures accurate reimbursement within the Revenue Cycle Management (RCM) process.

Key Responsibilities

  • Review and analyze patient medical records, physician notes, and clinical documentation.

  • Assign accurate ICD-10-CM, CPT, and HCPCS codes based on established coding guidelines.

  • Ensure coding accuracy and compliance with payer, client, and regulatory requirements.

  • Meet established productivity and quality benchmarks.

  • Identify documentation gaps and initiate provider queries when necessary.

  • Support denial analysis and provide coding-related clarification to revenue cycle teams.

  • Stay updated on coding regulations, payer policies, and industry changes.

  • Participate in internal audits and quality assurance initiatives.

Qualifications

  • Active CPC, CCS, or equivalent coding certification preferred.

  • Graduate of a Medical Allied course (e.g., Nursing, Medical Technology, Pharmacy, Physical Therapy) is an advantage.

  • At least 1–3 years of medical coding experience (level dependent).

  • Strong understanding of Revenue Cycle Management processes.

  • Familiarity with EMR/EHR systems and coding platforms.

  • Strong analytical skills with high attention to detail.

  • Ability to work in a fast-paced, performance-driven environment.

Preferred Experience

  • Experience supporting US healthcare accounts (payer or provider).

  • Exposure to inpatient, outpatient, emergency department, or specialty coding.

  • Background in denial management or audit support is a plus.