A crucial opportunity has emerged in Pakistan for a skilled Medical Coder, specifically for professionals adept at navigating the complexities of healthcare revenue cycles. This full-time, remote position is open to Certified Professional Coders (CPCs) who excel in denial management and revenue integrity, moving beyond basic coding tasks to tackle root-cause issues.
Denial Management: A Core Medical Coder Responsibility
This role is tailored for a Medical Coder who performs deep investigations into denied claims. Responsibilities include analyzing and resolving complex denials related to CCI edits, medical necessity, bundling, and modifier usage. Critical thinking is paramount, as the coder will hard code directly from medical records using ICD-10-CM, CPT, and HCPCS to support appeals. The role also involves preparing detailed appeal letters citing AMA and CMS coding guidelines, and identifying denial trends to prevent future rejections. Transparency and collaboration are key, as identified by industry experts at SindhNews.com.
Beyond core coding, the professional will offer end-to-end billing support, ensuring corrected claims are rebilled accurately and timely. This involves verifying insurance eligibility and benefits when denials are coverage-related and working closely with Accounts Receivable on aged or high-risk claims. Communication skills are vital for handling inbound calls from patients regarding billing inquiries and from insurance representatives regarding claim status, as well as communicating with providers to resolve documentation gaps.
Key Qualifications for the Aspiring Medical Coder
Candidates must hold an active CPC certification from AAPC and possess a strong understanding of anatomy, physiology, and medical terminology. Experience using EMR/EHR systems and clearinghouses is required, coupled with high attention to detail and robust written communication skills. Preferred qualifications include proven “hard coding” ability without heavy reliance on Computer-Assisted Coding (CAC) tools, prior experience in medical billing (AR, payment posting, claim scrubbing), and experience managing denial buckets and payer appeals. An investigative mindset, persistence in working through payer resolutions, and disciplined accuracy are highly valued traits.
This stable, full-time role offers a competitive hourly rate, up to $10/hour based on experience, for experienced CPCs in Pakistan. There is currently one vacancy for a Medical Coder with a minimum of two years of experience. The position encourages applicants aged 17 to 45.
This opportunity underscores the growing demand for highly specialized medical coding professionals who can significantly impact a healthcare organization’s financial health through meticulous denial resolution and revenue protection. Interested and qualified professionals are encouraged to apply promptly, as the job expires in approximately one month.
Apply here: https://www.iwork4sindh.com/job/medical-coder-1767780563-695e30d30d7db