We are seeking a detail-oriented and highly skilled Certified Medical Coder \u2013 Registered Nurse to join our team. In this role, you will be responsible for reviewing complex medical records, extracting critical clinical information, and preparing well-supported appeal documentation. This position offers an opportunity to combine clinical expertise with coding proficiency in a dynamic, quality-driven environment.<\/p>\n
Duties and Responsibilities<\/p>\n
Review and analyze patient medical records to extract accurate and relevant clinical information
\nPrepare comprehensive and defensible appeal letters in accordance with established guidelines and protocols
\nEnsure timely completion of assigned cases while maintaining high standards of quality and accuracy
\nApply clinical knowledge and coding expertise to support appropriate case evaluation and decision-making
\nAdhere strictly to Optum and OPAS policies, procedures, and compliance requirements
\nMaintain confidentiality and integrity of patient data at all times
\nContribute to continuous quality improvement and operational excellence
\nCollaborate with internal teams to ensure consistency and effectiveness in case handling<\/p>\n
Requirements<\/p>\n
Active PHRN License and Medical Coding Certification (AAPC or AHIMA)
\nMinimum 3 years of clinical experience in critical care settings within a tertiary hospital (e.g., ICU, CCU, CVICU, MICU, ER, Telemetry, Medical-Surgical)
\nAt least 2 years of experience in medical coding
\nStrong clinical judgment, analytical skills, and attention to detail
\nAbility to work efficiently within defined timelines
\nWillingness to work in a hybrid setup (Makati, Alabang, or Quezon City)<\/p>\n
What We Offer<\/p>\n
Fixed weekends off and a pure non-voice account
\nCompetitive salary and performance-based incentives
\nComprehensive HMO coverage from Day 1
\nDental, medical, and optical reimbursements
\nLife and disability insurance
\nPaid time-off benefits and sick leave conversion
\nRetirement plan and statutory benefits
\nTuition fee reimbursement and continuous learning opportunities
\nEmployee Assistance Program (EAP)
\nCareer growth, recognition programs, and referral incentives
\nOpportunities for employee engagement and volunteerism<\/p>\n
About Optum<\/p>\n
Optum, part of the UnitedHealth Group, is a global leader in healthcare technology and services. With a mission to help people live healthier lives and improve healthcare systems, Optum supports over 125 million individuals worldwide.<\/p>\n
Join a diverse and innovative organization dedicated to transforming healthcare through technology, expertise, and compassion.<\/p>\n","protected":false},"author":14691,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","job_listing_type":[66],"job_listing_category":[],"job_listing_location":[483],"job_listing_tag":[],"job_listing_employer_type":[],"job_listing_specialization":[172],"class_list":["post-44722","job_listing","type-job_listing","status-publish","hentry","job_listing_type-full-time","job_listing_location-metro-manila","job_listing_specialization-nursing"],"yoast_head":"\n