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full time Medical Coder

at Cavite Medical Center in Philippines

PHILHEALTH MEDICAL CODER

OVERALL PURPOSE:

Under general supervision, evaluates medical records and charges to ensure completeness, accuracy, and compliance with Philippine Health Insurance Corp. laws and regulations.


MAJOR RESPONSIBILITIES:

• Responsible for Philippine Health Insurance Corp. claims.
• Analyzes and codes Surgical Procedures based on relative value scale.
• Checks medical charts for accuracy and completion
• Verifies signatures and clarifies information or diagnosis by communicating with healthcare providers
• Handles and prepares patients medical claims/benefits.
• Prepares and submits Mandatory Monthly Hospital Statistical report.
• Responsible for reviewing patient records and codifying results for reimbursement or payment purposes.
• Follows official coding guidelines to review and analyze health records.
• Maintains strict confidentiality of all data records.
• Provides feedback to management concerning possible problems or areas of improvement.
• Abides by the standards and guidelines set forth by the Philippine Health Insurance Corp
• Performs other duties as assigned by management.


QUALIFICATION REQUIREMENTS:

Minimum Education Requirement: Bachelor’s Degree in Medical or Allied Medical courses or equivalent in relevant clinical work experience.
Knowledge of Specific Functional Work: Knowledge, understanding, and compliance with all applicable National and Local laws and regulations relating to job duties; Proficient computer skills
Industry / Work Experience Required: At least 2 years experience in related field
Special Skills / Behaviors Required: Must be detail oriented; Excellent interpersonal, written, and oral communication skills.
Ability to prioritize and organize work in a multi-tasked environment.
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Published at 04-09-2011
Viewed: 95 times
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