Offer summary

Qualifications:

Must be AAPC/AHIMA certified coder, Fluency in both Spanish and English with strong communication skills, Minimum of 3-5 years of experience in Medical Coding within a US healthcare setting, Deep understanding of US Insurance Plan Structure and HIPAA regulations..

Key responsibilities:

Efficiently translate and code medical documentation from Spanish and English for accurate billing and insurance claims

Assign appropriate ICD-10-CM, CPT, and HCPCS codes to diagnoses, treatments, and procedures

Assist clinic/practice managers and staff with queries concerning coding and billing

Conduct audits to resolve coding denials and verify documentation accuracy.

Job description

#1 PH Workforce Delivering to the US

MedCore Solutions, the medical division of Bizforce, are excited to announce an opening for a Spanish Bilingual Medical Coder to join our dynamic team. In this vital role, you will be responsible for accurately translating patient medical documents into medical codes, ensuring compliance with healthcare regulations, and facilitating smooth communication between healthcare providers and billing teams. Your bilingual skills will be essential in bridging language gaps and ensuring that documentation is handled effectively for both English and Spanish-speaking patients. This is a unique opportunity to make a meaningful impact while working permanently from home.

Who We Are

MedCore Solutions (MCS) is a leader in providing healthcare administrative services, including medical billing, credentialing, and compliance. We are committed to supporting healthcare professionals through the latest technological advancements and training resources to ensure optimal practice efficiency.

Responsibilities

Efficiently translate and code medical documentation from Spanish and English for accurate billing and insurance claims
Assign appropriate ICD-10-CM, CPT, and HCPCS codes to diagnoses, treatments, and procedures related to diverse patient cases
Assist clinic/practice managers and staff with queries concerning coding and billing to optimize processes
Identify and rectify inconsistencies or incomplete documentation by collaborating with healthcare providers
Conduct audits to resolve coding denials and to verify that documentation is complete and accurate
Maintain a systematic recording of coded charts to ensure proper organization and tracking of all cases
Research coding regulations and guidelines to uphold high standards of quality in all submissions
Engage in best practices for ensuring comprehensive coding documentation processes

Other Details

Start Date: TBD
Time zone: TBD
Schedule: Monday-Friday 8 hours/day; 40 hours/week
Weekend days off
Duration: Long term; Steady-state

Requirements

Must be AAPC/AHIMA certified coder
Fluency in both Spanish and English, with strong communication skills
Minimum of 3-5 years of experience in Medical Coding within a US healthcare setting
Deep understanding of US Insurance Plan Structure and HIPAA regulations
Exceptional detail-oriented approach for accurate coding and compliance
Willingness to work in US time zones (graveyard shift)

System Requirements

Device (Desktop or Laptop)

Processor:

Windows Devices: Intel Core i5 (or higher) or AMD Ryzen 5 (or higher).
Mac Devices: Apple M1 chip or newer.

RAM:

Minimum of 8GB or higher for optimal performance.

Operating System:

Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license.
Mac: macOS compatible with M1 or newer chips.

Hard Disk:

At least an SSD for better processing speed.

Internet Connectivity:

Minimum speed of 50 Mbps via a wired connection for stability and reliability.
A backup internet connection is highly recommended.

*Power Supply:

A backup power supply (e.g., UPS or generator) is encouraged to handle power outages (optional but suggested)

Benefits

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.