272 Certified Professional Biller jobs in the Philippines

Job Description:

The IP Coder is responsible for assigning diagnostic and procedural codes to inpatient charts, of moderate to high complexity, using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. They abide by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.

Duties and responsibilities:

• Proficient in inpatient diagnosis coding guidelines
• Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines
• Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
• Functional knowledge of facility EMR, encoder and other support software
• Ability to establish and maintain effective working relationships as required by the duties of the position
• Ability to concentrate and accomplish tasks with explicit accuracy
• Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency

Required Certifications/Licensure:

• AHIMA or AAPC approved credential

Working Conditions:

• Amenable to work in BGC, Taguig (Hybrid)
• Willing to work in a dayshift schedule

Company Benefits:

• Competitive Salary
• HMO plus free dependents
• Group life insurance
• PTO Credits
• Annual Appraisal
• Annual Performance Bonus

Description of Position:

Outpatient Coder - The OP Coder is responsible for assigning diagnostic and procedural codes (outpatient ancillary records, same day surgery, and emergency department) to patient charts, of low to moderate complexity, using: ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. They abide by the Standards of Ethical Coding as set forth by AHIMA. The OP Coder is also responsible for abstracting clinical and other data elements into the medical record.

Inpatient Coder - Responsible for assigning diagnosis and procedure codes to the following patient types using ICD-10-CM, ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations.

Patient Types: Low acuity inpatient, OB/NB, acute psych, 1-day stays

Duties also include accurate coding of modifiers and resolving coding edits. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Responds to audits and makes necessary changes to coding of accounts based on agreed findings.

Qualifications:

• At least 1 year of experience performing OP or IP medical record coding
• Must have:AHIMA or AAPC coding credentials (CPC, CIC, CCS)

Working Conditions:

• Willing to work in a dayshift schedule
• It can be permanent WFH or Hybrid

Salary & Benefits:

• Up to 32k Salary Package
• Retirement Plan
• Medical Plan (HMO Maxicare) from Day 1 of employment
• Life and Disability Insurance
• Dental, Medical, and Optical Reimbursements
• Paid Time-Off Benefits
• Sick Leave Conversion
• Annual Performance-Based Merit Increases and Employee Recognition
• Training and Staff Development
• Employee Referral Program
• Tuition Reimbursement
• Mental Health Coverage

Job Types: Full-time, Permanent, Fresh graduate

Pay: Up to Php32,000.00 per month

Benefits:

• Company events
• Health insurance
• Life insurance
• Paid training
• Pay raise

Application Question(s):

• Can START ASAP?

License/Certification:

• CPC-A coding license (Required)

Work Location: In person

Locations: Metro Manila (Quezon City, Alabang, Makati, Taguig), Davao, Cebu

Qualifications:

• Must have Active CPC/CPC-A License
• Any Coding License
• AAPC/AHIMA License (for college undergrad)
• Med Allied or Non Med Allied Course Graduate
• College Undergraduates are welcome (must have AAPC/AHIMA License)
• with or without coding experience

Application Process will be purely virtual

Salary and Benefits:

• Monthly Salary: 25, ,000 Php + 3,600 Php Allowance
• Retirement Plan
• Medical Plan
• Dental, Medical, and Optical Reimbursements
• Paid Time-off Benefits
• Sick leave Conversions
• Annual Perf based Merit Increases and Employee Recog
• Training and Staff Development
• Employee Referral Program
• Tuition Reimbursement
• Mental Health Coverage
• Training onsite 3 times a week after 3 times a month

Work Set-up:

• HYBRID
• Training: 3x a week on-site then, 2 days work from home
• Regularly: 3x a month on-site
• Weekends off

Job Types: Full-time, Permanent

Pay: From Php28,600.00 per month

Benefits:

• Paid training

Work Location: Hybrid remote in Davao

Salary & Benefits:

• Up to 32k Salary Package
• Retirement Plan
• Medical Plan (HMO Maxicare) from Day 1 of employment
• Life and Disability Insurance
• Dental, Medical, and Optical Reimbursements
• Paid Time-Off Benefits
• Sick Leave Conversion
• Annual Performance-Based Merit Increases and Employee Recognition
• Training and Staff Development
• Employee Referral Program
• Tuition Reimbursement
• Mental Health Coverage

Job Types: Full-time, Permanent, Fresh graduate

Pay: Up to Php32,000.00 per month

Benefits:

• Company events
• Health insurance
• Life insurance
• Paid training
• Pay raise

Application Question(s):

• Can START ASAP?

License/Certification:

• CPC-A coding license (Required)

Work Location: In person

ROLE AND RESPONSIBILITIES

• Translate doctor's notes and medical records into universal codes used by insurance companies and healthcare systems
• Make sure healthcare services are coded accurately so that billing is correct and providers get paid properly
• Use your knowledge of medical terms and guidelines to ensure everything is precise and compliant
• Play a crucial role behind the scenes in making the healthcare billing process work smoothly
• Adhere to and maintain required levels of performance in both Coding accuracy and productivity. Abstract additional data elements during the Chart Review process when coding
• Identify appropriate assignment of CPT and ICD-9 Codes for Physician and facility services provided in an Observation service setting, and Inpatient setting. Provide documentation feedback to Providers
• Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, among others

Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life's best work.SM

JOB QUALIFICATIONS

• With active AHIMA or AAPC Medical Coding Certification  (CPC-A, CPC, CIC, CCS, COC)
• Experience in coding from paper charts as well as EMR
• Understanding of ICD-9 or ICD-10 Coding in relation to HCC/Risk Adjustment Coding
• Onsite attendance is required during training; predominantly work at home arrangement thereafter

WHAT WE OFFER

• Predominantly Work at Home (Onsite attendance is required during training)
• Laptop/Computer Provided by the Company
• Pure Non-Voice Account
• Morning Shift and Fixed Weekends Off
• Market Total Rewards Package
• Retirement Plan
• Medical Plan (HMO) from Day 1 of employment
• Dental, Medical, and Optical Reimbursements
• Life and Disability Insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Tuition Fee Reimbursement
• Employee Assistance Program (EAP)
• Annual Performance Based Merit Increases
• Employee Recognition
• Training and Staff Development
• Employee Referral Program
• Employee Volunteerism Opportunity
• All Mandatory Statutory Benefits

WHO WE ARE

• Optumis the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
• UnitedHealth Groupis a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
• We're a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
• As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
• We're a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
• Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that's dedicated to Caring. Connecting. Growing together

Job Title:
Certified Medical Coder

Location:
Remote (Globally)

Salary Range:
1500 to 2000 USD

Work Schedule:
Monday to Friday, 09:00 AM – 05:00 PM (EST)

NOTE: INDEPENDENT CONTRACTOR POSITION

Company Overview:

Sagan is an exclusive membership community for top executives, founders, and CEOs seeking to hire and maximize the impact of international talent. We bridge the gap between global talent and US-based businesses, connecting candidates from vibrant regions like Latin America, the Philippines, India, Pakistan, Bangladesh, and Africa with leading American companies. Sagan provides a high-performance remote work environment, ensuring access to world-class opportunities for top-tier professionals.

About the Company:

Sagan represents a large, well-established dermatology group based in the U.S., known for delivering high-quality medical, surgical, and cosmetic dermatologic care. The team supports 180+ providers across 80+ locations and places a strong emphasis on integrity, professionalism, and collaboration across clinical and back-office functions.

Position Overview:

We are looking for a Certified Medical Coder with experience in Evaluation & Management (E/M) coding and a strong understanding of Medicare guidelines, modifiers (especially 59 and 25), and dermatology coding (preferred). The ideal candidate will work closely with assigned providers to ensure accurate coding, compliance, and documentation alignment, while meeting weekly performance benchmarks.

Key Responsibilities:

• Review clinical documentation to identify and select accurate diagnoses and procedures.
• Accurately code evaluation and management (E/M) services and link ICD codes appropriately.
• Ensure correct assignment of CPT codes and modifiers, particularly 59 and 25.
• Work assigned ModMed queues and monthly missing charges reports for designated providers.
• Perform charge corrections and special coding projects as needed.
• Communicate effectively with physicians, clinical staff, billers, and AR analysts to clarify documentation and coding details.
• Maintain compliance with Medicare and payer-specific guidelines and documentation standards.

Qualifications:

• Certified Medical Coder (CPC, CCS, CCS-P, CCA, or CPC-A).
• 2+ years of medical coding experience (dermatology preferred).
• Familiarity with Medicare guidelines, E/M coding, and modifiers 59 and 25.
• Experience using ModMed or similar EHR systems.
• Strong attention to detail and a commitment to accuracy and compliance.
• Proficient with Microsoft Office Suite or related software.
• Ability to take direction and feedback well, with a coachable and professional attitude.

Nice-to-Haves:

• Experience working with US-based dermatology practices.
• Prior involvement in remote coding operations.

Equipment Requirements:

• Candidates must use their own computer with VPN access
• Potential reimbursement for monitor purchase (subject to company policy)

Salary : $1100 - $1400 per month

Timezone: Flexible working hours

The Medical Coding Specialist will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-9-CM), and the American Medical Association's Current Procedural Terminology Manual (CPT). The Specialist will also provide technical guidance and training on medical coding to physicians and staff.

Key Responsibilities:

• Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines.
• Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes.
• Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial.
• Evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees.
• Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and updates procedures manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery.
• Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
• Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
• Educates and advises staff on proper code selection, documentation, procedures, and requirements.
• Identifies training needs, prepares training materials, and conducts training for physicians and support staff to improve skills in the collection and coding of quality health data.

Requirements:

• Knowledge of ICD-10-CM and CPT coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage.
• Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.
• Ability to read and interpret medical procedures and terminology.
• Ability to develop training materials, make group presentations, and to train staff
• Ability to exercise independent judgment;
• Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff.
• Ability to maintain confidentiality.

Education and Experience:

• Possession of an Accredited Record Technician's certification (ART) or Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association
• Two years of experience in medical record coding required

Physical Requirement:

• Prolonged periods of sitting at a desk and working on a computer.

Benefits:

• Client Relationship : You will be directly working with the client. This means that you will communicate with the client, provide services, and address any client-related matters independently.
• Payments : All payments for your services will be handled by the client. Elevate and Delegate is not involved in processing your payroll. Your salary will directly go to you.
• Vacation Leaves and Holidays : While we may have recommendations or guidelines regarding vacation leaves and holidays, the decision is entirely at the discretion of the client. You are expected to align your schedule with the client's business needs and any specific policies or preferences they may have in this regard.

Position Type: Full Time

Location: Hybrid

System Requirement: Must be knowledgeable in WellSky EMR

Job Summary

We are looking for a Certified Professional Coder (CPC) with solid experience in WellSky (formerly Kinnser) to join our coding team. The ideal candidate will be responsible for ensuring accurate coding of patient records, supporting compliance, and assisting billing teams to optimize reimbursement.

Key Responsibilities

• Assign accurate ICD-10-CM, CPT, and HCPCS codes from clinical documentation.
• Ensure compliance with CMS, HIPAA, and payer-specific coding guidelines.
• Review and audit patient charts within WellSky EMR.
• Collaborate with clinicians for clarification when needed.
• Provide feedback and support to maintain coding quality standards.
• Uphold patient confidentiality at all times.

Qualifications

• Certified Professional Coder (CPC) – Required
• Proven experience with WellSky EMR (Kinnser)
• Strong understanding of home health and hospice coding guidelines
• Excellent attention to detail and ability to work independently
• Strong communication and organizational skills

Job Type: Full-time

Pay: Php40, Php80,000.00 per month

Benefits:

• Paid training

Work Location: In person