Medical Biller and Coder

at  eData Services Phils Inc

eData Services is an American owned and operated Health Information Management Company that has been in business for more than 15 years. We employ nearly 600 medical professionals including dozens of Medical Doctors and hundreds of Registered Nurses. We also employ Dentists, Pharmacists, Psychologists, and Registered Physical Therapists.

We deliver customized services to over 500 clients throughout the United States; 24 hours a day, 7 days a week. Our services include:

• Medical Record Summarization
• Dictation Transcription (Medical and Legal)
• Medical Report Editing
• AMA Impairment Ratings
• Comprehensive Medical History Taking by Telephone
• Depo Summaries
• Incoming Mail Processing
• EHR Data Entry
• Utilization Review
• Live, Real-Time Virtual Scribe Services during Exam Encounters
• Live, Real-Time Virtual Medical Services
• Insurance Eligibility, Benefit, and Coverage Verification
• Claim Denial Appeals and other EOB issues
• Securement of Treatment Authorizations
• Patient Scheduling
• Patient Appointment Reminder Calling
• Billing and Collections
• Preparation and Transmission of Referral Letters
• Computerized Physician Order Entry
• Incoming Telephone Call Handling
• Full Telephone Receptionist Services
• Lunch Hour Telephone Coverage
• Claims Submission
• After Hours Telephone Coverage
• Patient Inquiry Handling

We are HIPAA compliant and adhere to all Federal and State laws governing the security of Protected Health Information. All work is exchanged with our clients through encrypted internet connections. We utilize secured Microsoft Azure Cloud and on premise servers to ensure redundancy, speed, and security.
eData’s head office is located in Beverly Hills, California. Our center of operations is located in Taguig.
Job description
The Medical Coder / Biller assigns diagnostic and procedure codes to patient medical records, enters patient information into the Electronic Health Record and Billing Software, submits claims, and follows through till timely payments are received. Generally performs coding on all types of cases and services. May be assigned to either office, outpatient or inpatient settings. Utilizes current and appropriate rules and guidelines of code sets such as ICD-10, CPT and HCPCS.

• Analyzes medical records to identify significant elements and represent them as specific diagnostic and procedural codes
• Collects health information as documented by physicians, qualified health care professionals or medical specialists and code them appropriately
• Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures.
• Accurately selects codes from the International Classification of Diseases (ICD), American Medical Association Current Procedural Terminology (CPT) coding system, and Healthcare Common Procedure Coding System (HCPCS).
• Analyze health records and follows official coding rules and guidelines to review and.
• Consults medical specialists for further clarification and understanding of items on patient charts to avoid any misinterpretations
• Enters codes into the Electronic Health Record and Billing Software,.
• Reports to their supervisor their productivity status and daily issues.
• Identifies and reports areas of concern with respect to improper coding and documentation.
• Maintains confidentiality of patient records at all times.
• Submits claims to insurance companies, claim administrators or third party payers
• Identifies coordination of benefits, and bills secondary or tertiary insurances
• Follows up payments from payers and patients
• Evaluates and timely appeals denied claims
• Submits reports relative to work performed
• Maintains good client relationship in the course of duty
• Collects, analyzes and presents solutions to coding and billing related information and issues
• Performs other functions as assigned.
  Qualifications
  Experience in Medical Billing
  Has basic computer knowledge
  Willing to work US hours-graveyard shift
  Excellent communication skills
  Analytical, organized, and systematic
  Process oriented and follow strict timelines
  Able to work with very minimal supervision
  Must be a good team player
  Must be willing to work on-site (Mckinley West, Taguig