1 PH Workforce Delivering to the US

Bizforce and our medical billing division, MedCore Solutions, are seeking skilled Medical Coders to join our growing team. As a Medical Coder at MedCore, you will be responsible for translating details from a patient’s medical documents into medical codes for health insurance claims purposes. Additionally, you will be liaising with the client and team members for coding-related queries and concerns, performing audits for coding denials and missing information, and maintaining a tracking system for coded charts. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today!
Who We Are
MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing.
We offer an expansive suite of administrative products and training to keep your practice and its employees safe and up-to-date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities

• Translate details from a patient’s medical documents into medical codes for health insurance claims purposes
• Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD-10-CM, CPT, and HCPCS codes to diagnoses, treatments, and procedures.
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Identify inconsistencies or incomplete documentation and work with healthcare providers to correct them.
• Clarify documentation discrepancies by consulting with physicians and other healthcare providers.
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards
• Suggest improvements to documentation processes for clearer coding.

REQUIREMENTS:

• Must be AAPC/AHIMA certified coder
• At least 3-5 years of clinical experience in Medical Coding
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)
  System Requirements

Device (Desktop or Laptop)

• Processor:
• Windows Devices: Intel Core i5 (or higher) or AMD Ryzen 5 (or higher).
• Mac Devices: Apple M1 chip or newer.

• Translate details from a patient’s medical documents into medical codes for health insurance claims purposes
• Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD-10-CM, CPT, and HCPCS codes to diagnoses, treatments, and procedures.
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Identify inconsistencies or incomplete documentation and work with healthcare providers to correct them.
• Clarify documentation discrepancies by consulting with physicians and other healthcare providers.
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards
• Suggest improvements to documentation processes for clearer coding