Are you a certified medical coder with a sharp eye for detail and a passion for improving revenue cycle performance? We're looking for a Clinical Coding Analyst to join our team and play a key role in reducing coding-related denials and supporting compliant healthcare delivery.
 
Responsibilities
Analyze denied claims related to coding issues (ICD-10, CPT/HCPCS, modifiers)
Identify coding errors and documentation gaps contributing to denials
Collaborate with coders, providers, and revenue teams to resubmit claims
Conduct audits to ensure accuracy, completeness, and compliance
Stay updated on industry coding standards and payer requirements
Educate staff and providers on coding best practices
Prepare reports to highlight denial patterns and recommend improvements
Qualifications:
At least 1 year of experience in medical coding, auditing, or clinical documentation improvement (CDI)
Active certification: CPC, CCS, CIC, or equivalent
Knowledge of ICD-10, CPT, HCPCS, and E/M coding
Understanding of revenue cycle, medical necessity criteria, and payer policies
Proficient with coding software, EHR systems, and reporting tools
Strong analytical, communication, and time-management skills
Preferred:
Bachelor's degree in Nursing, Health Information Management, or a related medical field
Experience with risk adjustment audits or payer audit processes
Why Join Us?
Join a collaborative, mission-driven team
Opportunity to contribute to measurable improvements in coding and revenue cycle processes
Work in a dynamic, supportive environment with continuous learning
Be part of a role that bridges clinical knowledge and healthcare business strategy
Submit profile
Sales Rain BPO Inc
About the company
Sales Rain BPO Inc jobs
Bagumbayan, Metro Manila

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About the company
Sales Rain BPO Inc jobs
Bagumbayan, Metro Manila