Certified Medical Coder

Position Type: Full Time, Non-Exempt

Compensation:Php 45,000 - 50,000 (All-in package)

Job Location:Remote - PH

Job Highlights:

1. Paid Time Off: Relax and recharge with paid vacation and sick leaves.
2. Bonus Boost: Enjoy an extra bonus with our 13th-month pay.
3. Health Matters: Get comprehensive HMO coverage upon regularization.
4. Weekends Free: Say goodbye to work on weekends and embrace personal time.
5. Extra Earnings: Overtime opportunities available for additional income.
6. Work-Ready: We provide the essential work device for seamless productivity.

Company Overview

Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services including multispecialty physician services, telemedicine, remote patient monitoring, and more. We currently operate primary care clinics and provide medical services to skilled nursing facilities in numerous states across the nation.

As a leading-edge, innovative, and quality-driven physician group, we continue to expand nationally. In pursuit of this, we continue to seek talented individuals to join our amazing team and care for our population. We wish to extend a warm welcome to all candidates interested in making a difference in healthcare delivery by joining the Theoria team

Theoria's Quality Department is seeking dedicated and detail-oriented individuals to join its team as Medical Coders. In this role, you will support our billing department by accurately reviewing, assigning, and verifying medical codes for various patient services. As a Medical Coder at Theoria, you will play a critical role in ensuring compliance with insurance, federal, and state regulations, as well as helping streamline the billing process for accurate and timely reimbursements.

The ideal candidate will be responsible for reviewing medical documentation, assigning appropriate codes for diagnoses and procedures, and ensuring compliance with regulatory standards. This is a critical role that directly impacts the quality of patient care and the financial health of our organization.

Shift Structure

• Mon-Fri 9:00 pm to 5:00 am PST

Essential Functions and Responsibilities

• Review and analyze medical records and documentation to ensure accurate coding.
• Assign appropriate ICD-10, CPT, and HCPCS codes based on documentation and coding guidelines.
• Ensure compliance with federal regulations, state laws, and payer requirements.
• Collaborate with healthcare providers to clarify any discrepancies or obtain additional information.
• Participate in ongoing education and training to stay updated on coding changes and regulations.
• Conduct regular audits of coding accuracy and documentation to identify areas for improvement.
• Assist in resolving coding-related inquiries from payers, providers, and other stakeholders.
• Maintain confidentiality and adhere to HIPAA regulations.

Requirements and Qualifications

• Graduate with a BS in Nursing or comparable degrees in the medical field.
• Certified Medical Coder (CPC, CCS, or equivalent) from a recognized accrediting body.
• Proven experience in medical coding in a healthcare setting, for at least 2 years.
• Strong knowledge of medical terminology, anatomy, and physiology.
• RAF/HCC audit experience is preferred.
• Familiarity with coding software and electronic health record (EHR) systems.
• Excellent attention to detail and strong analytical skills.
• Ability to work independently and as part of a team.
• Strong communication skills, both verbal and written.

Physical Requirements

• Must be punctual or on time and adhere to the company's Time and Attendance policy.
• Must be able to remain sitting for the majority of their shift.

Compensation and Benefits

• PTO and Holiday pay
• HMO
• Continuing Education allowance

Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position.

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