• Work on complex infusion coding and reimbursement scenarios
• Build expertise in Medicare guidelines in a specialised setting

About Our Client

The client is a globally leading healthcare firm based in the US with a shared service operation in the Philippines.

Job Description

• Review diagnosis and medication coding for infusion services, particularly in complex or restricted payer scenarios
• Evaluate payer medical policies and regulatory guidelines to determine coverage and medical necessity
• Ensure alignment between clinical documentation and billing codes prior to service delivery
• Coordinate and validate completion of beneficiary notices and required modifiers within the system
• Apply advanced knowledge of Medicare guidelines and FDA label coverage to resolve coding exceptions
• Collaborate with intake, billing, and clinical teams to address discrepancies and improve docum...