Hire the Best ICD Coding Specialists
in the Philippines

"𝙃𝙖𝙯𝙚𝙡 𝙬𝙤𝙧𝙠𝙚𝙙 𝙦𝙪𝙞𝙘𝙠𝙡𝙮, 𝙖𝙘𝙘𝙪𝙧𝙖𝙩𝙚𝙡𝙮, 𝙖𝙣𝙙 𝙬𝙞𝙩𝙝 𝙥𝙧𝙤𝙢𝙥𝙩 𝙛𝙚𝙚𝙙𝙗𝙖𝙘𝙠 𝙖𝙣𝙙 𝙘𝙤𝙢𝙢𝙪𝙣𝙞𝙘𝙖𝙩𝙞𝙤𝙣. 𝙄 𝙬𝙤𝙪𝙡𝙙 𝙝𝙞𝙜𝙝𝙡𝙮 𝙧𝙚𝙘𝙤𝙢𝙢𝙚𝙣𝙙 𝙩𝙝𝙚𝙢 𝙛𝙤𝙧 𝙖𝙣𝙮 𝙛𝙪𝙩𝙪𝙧𝙚 𝙟𝙤𝙗 𝙧𝙚𝙜𝙖𝙧𝙙𝙞𝙣𝙜 𝙢𝙚𝙙𝙞𝙘𝙖𝙡 𝙘𝙤𝙙𝙞𝙣𝙜." "𝙃𝙖𝙯𝙚𝙡 𝙙𝙞𝙙 𝙖 𝙜𝙧𝙚𝙖𝙩 𝙟𝙤𝙗! 𝙃𝙚𝙧 𝙚𝙭𝙥𝙚𝙧𝙞𝙚𝙣𝙘𝙚 𝙧𝙚𝙖𝙡𝙡𝙮 𝙨𝙝𝙤𝙬𝙚𝙙 𝙖𝙣𝙙 𝙬𝙖𝙨 𝙖 𝙗𝙞𝙜 𝙝𝙚𝙡𝙥 𝙩𝙝𝙧𝙤𝙪𝙜𝙝𝙤𝙪𝙩 𝙩𝙝𝙚 𝙥𝙧𝙤𝙟𝙚𝙘𝙩. 𝙃𝙞𝙜𝙝𝙡𝙮 𝙧𝙚𝙘𝙤𝙢𝙢𝙚𝙣𝙙𝙚𝙙." I help healthcare providers and billing companies eliminate coding errors and improve reimbursement accuracy. Hi! I’m Hazel, a certified medical coder with 10 years of hands-on experience in outpatient medical coding, including E/M, ED, and Same Day Surgery. I’m known for delivering clean, accurate coding, meeting tight deadlines, and making the process easy for my clients through clear communication and dependable results. 𝗪𝗵𝘆 𝗪𝗼𝗿𝗸 𝗪𝗶𝘁𝗵 𝗠𝗲 • Top-rated Medical Coder in Upwork with proven Upwork experience • Accurate, high-quality work • Reliable turnaround • Clear, responsive communication 𝗥𝗲𝗴𝗶𝘀𝘁𝗲𝗿𝗲𝗱 𝗡𝘂𝗿𝘀𝗲 + 𝗖𝗲𝗿𝘁𝗶𝗳𝗶𝗲𝗱 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗖𝗼𝗱𝗲𝗿 (𝗖𝗣𝗖, 𝗖𝗖𝗦) • Strong clinical + coding expertise • E/M, Same Day Surgery, ED (profee & facility), Radiology • Accurate, compliant coding with fewer errors 𝗦𝗽𝗲𝗰𝗶𝗮𝗹𝘁𝗶𝗲𝘀 𝗪𝗼𝗿𝗸𝗲𝗱 𝗪𝗶𝘁𝗵 • Podiatry • Family Medicine • Internal Medicine • OB-GYNE • Cardiology & Cardiothoracic • ENT • Spine & Orthopedics • Pain Management • Radiology • Nutrition • Acupuncture • Surgery (multispecialty) 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 • Charge entry/posting (CPT, ICD-10, HCPCS, modifiers) • Check coding accuracy • Claims submission (MCR, OON, Workers’ Comp & No-Fault claims) • NCCI, LCD, NCD knowledge 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗗𝗮𝘁𝗮 𝗔𝗻𝗻𝗼𝘁𝗮𝘁𝗶𝗼𝗻 • Worked with multiple AI platforms to verify coding accuracy • Performed coding audits and validation • Provided real-world clinical insight to improve AI outputs • ICD-10 tagging & clinical data labeling 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗧𝗿𝗮𝗻𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻 • Accurate clinical documentation from audio 𝗧𝗼𝗼𝗹𝘀 & 𝗦𝘆𝘀𝘁𝗲𝗺𝘀 • EMR/EHR: eCW, EPIC, Athena, Practice Fusion, DrChrono, Medgen, Nextgen • Coding Tools: Optum CAC, 3M, AAPC Codify, EPIC

Hello! I am a Medical Biller and Coding Specialist who can manage the important administrative work of coding and billing to ensure healthcare providers are reimbursed for their services. You can expect me to properly code services, use valid Current Procedural Terminology and appropriate ICD-10 code. Following up with patients and/or insurance companies regarding outstanding charges. Review the reason/s behind any denied or rejected claims prior to correcting and resubmitting. Capable of creating and submitting good cause argument letter and/or formal letter of appeal for incorrectly denied claims. Track and post insurance payments. Excellent ability to communicate effectively and professionally. Proficient level of computer literacy. With Six years of experience as Customer Service Representative for one of the biggest Medical Insurance, I am knowledgeable with insurance guidelines and strictly follows HIPAA regulations. Two years of experience as an Account Receivable (AR) Specialist and a Subject Matter Expert (SME) for major payers Medicare and Medicaid Health Plans. Benefits/Services I previously worked: • All Medical Benefits (including Preventive Services) • Behavioral and Mental Health • Substance Abuse Few Major Insurances and their States I previously worked: • Medicare Health Plan (MI, IL, OH, TX, GA, CA, AZ) • Medicaid Health Plan (MI, IL, OH, TX, GA, CA, AZ) • Humana, Aetna, Anthem Inc., Illinicare, Cigna Health, Meridian/Wellcare, Molina Healthcare Inc., UnitedHealth Care Has Experience working with software • CallCare Browser • Phicure • Citrix/Trizetto *Familiar with all areas of CMS 1500 form and its guidelines. *Adaptive and can easily learn to navigate in working with a new software Can manage multiple assigned task by determining its level of urgency. Will make sure target levels are meet timely. I am willing to be trained and looking forward to working with you.

I am a medically trained professional and graduating medical intern with over 5 years of clinical, administrative, and healthcare documentation experience, specializing in OASIS Review, Clinical Records Review, QA/QI, EMR documentation, ICD-10 coding support, and medical transcription. I bring a unique combination of strong clinical knowledge, meticulous attention to detail, and excellent communication skills—allowing me to deliver accurate, compliant, and high-quality healthcare documentation and virtual assistance services to physicians, home health agencies, and medical organizations. What I Can Do for You ✔ OASIS Review & Correction Recommendations ✔ Plan of Care (485) Review for compliance ✔ QA/QI auditing for Home Health Agencies ✔ ICD-10 coding support to reflect accurate patient status ✔ Face-to-Face document review ✔ EMR documentation (SN, PT, OT, ST, MSW, PDN, PSA Notes, Evaluations) ✔ Medical transcription & chart summarization ✔ Clinical records organization and verification ✔ Patient communication & homebound status clarification ✔ Healthcare virtual assistance Why Clients Choose Me 🔹 Strong clinical background—MD degree with internship training at major hospitals 🔹 Home Health documentation expert—experience with multiple US-based agencies 🔹 Accurate, fast, and HIPAA-conscious work ethic 🔹 Deep understanding of Medicare guidelines, OASIS-E, and home health workflows 🔹 Exceptional organization and written communication skills Professional Background Clinical Records Review & OASIS Review Specialist (2024–2025) Quality Assessment / Quality Improvement Reviewer (2023–2025) Case Manager Assistant / QA Specialist – Home Health (2021–2023) Medical Transcriptionist (2020) Postgraduate Medical Intern – Tertiary Hospital (2019) With my combined clinical expertise and administrative precision, I help healthcare organizations improve documentation accuracy, compliance, and workflow efficiency.

𝗧𝗼𝗽-𝗥𝗮𝘁𝗲𝗱 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 & 𝗗𝗲𝗻𝘁𝗮𝗹 𝗕𝗶𝗹𝗹𝗲𝗿 𝗼𝗻 𝗨𝗽𝘄𝗼𝗿𝗸 | 𝗢𝘃𝗲𝗿 𝗮 𝗗𝗲𝗰𝗮𝗱𝗲 𝗼𝗳 𝗘𝘅𝗽𝗲𝗿𝘁𝗶𝘀𝗲 𝗶𝗻 𝗛𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 - RCM Specialist 🌟🌟🌟 I am a highly experienced Medical and Dental Biller with over a decade of expertise in the healthcare industry. As the owner of Billing PROtect, I specialize in managing accounts, optimizing revenue cycles, and providing top-tier support to my clients. My extensive background includes working as a Lead Medical Biller, handling two medical practices independently, and serving as a Dental Biller for two departments (Billing & Financial) across multiple locations. Additionally, I have experience in customer service and have worked as a technical support representative, enhancing my ability to communicate effectively with providers and patients. I also possess in-depth knowledge of reading and interpreting progress notes and chart notes from doctors, ensuring accurate billing and coding based on medical documentation. 🔹 𝗢𝗽𝗲𝗻 𝘁𝗼 𝗶𝗻𝘁𝗲𝗿𝘃𝗶𝗲𝘄𝘀—𝗹𝗲𝘁’𝘀 𝗱𝗶𝘀𝗰𝘂𝘀𝘀 𝗵𝗼𝘄 𝗜 𝗰𝗮𝗻 𝗵𝗲𝗹𝗽 𝘆𝗼𝘂𝗿 𝗽𝗿𝗮𝗰𝘁𝗶𝗰𝗲 𝘀𝘂𝗰𝗰𝗲𝗲𝗱! 🏆 Medical & Dental Billing Services: ✔ Prior Authorization & Pre-Determination – Submission via NEA FastAttach, Continuation of Care, narrative creation, and credentialing requests. ✔ Eligibility & Benefit Verification – Insurance verification via web portals or direct phone calls. ✔ Patient Scheduling & Demographics Entry – Ensuring accuracy in patient data and appointment management. ✔ Recurring Payments Processing – Managing multiple payment methods, including credit cards. ✔ Insurance Claims Submission – Handling primary, secondary, and tertiary claims. ✔ Payment Posting – Processing payments from EFT/ERA, checks, and insurance recoupments. ✔ Accounts Receivable & Collections – Analyzing AR, implementing corrective actions, and decision-making for collections. ✔ Denial Management & Appeals – Strong claims follow-up, including Workers’ Comp, Medicare, Medicaid, BCBS, Managed Care, and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford, etc.). ✔ Claim Status & Reprocessing – Checking claims via insurance portals, auto-response units, and live calls. ✔ On-Call Appeals & Reprocessing Requests – Advocating for proper claim reimbursement based on billing guidelines. ✔ ICD-9, ICD-10, CPT, and HCPCS Coding Review – Ensuring accurate coding for maximum reimbursement. ✔ Financial Reporting – Preparing daily, monthly, and annual AR reports, along with custom reports as needed. ✔ Patient Billing & Inquiries – Addressing billing concerns with insights from providers, treatment coordinators, and office staff. ✔ Credentialing & Consulting Services – Assisting with provider enrollment and training in billing best practices. ✔ Superbill Review & Compliance Audits – Ensuring accuracy in provider documentation and billing. Medical & Dental Coding Services: ✔ Accurate DX & CPT Code Selection – Researching and assigning correct diagnosis and procedure codes based on medical records and treatment plans. ✔ DX Pointer Optimization – Ensuring first-time accuracy to prevent payment delays. ✔ Modifier Application – Recommending appropriate modifiers to maximize reimbursement using EncoderPro Expert and SuperCoder.

Hi! I'm a CPC-certified Medical Coder and Healthcare Admin Specialist based in the Philippines, with 5+ years of hands-on experience supporting US medical practices through the full revenue cycle. My daily work is ICD-10-CM coding for outpatient practices — general / family medicine, ophthalmology, and dermatology — combined with the RCM operations that keep claims moving cleanly through to payment. CERTIFICATIONS ✓ CPC (Certified Professional Coder, AAPC) — renewal March 2027 ✓ MLS (Medical Laboratory Scientist) — clinical lab background ✓ RM (Philippine Registered Medical professional) EHR / EMR — hands-on ✓ eClinicalWorks (3 years) · athenahealth (1 year) · Epic (6 months) ✓ Tebra (7 months) · Practice Fusion (6 months) PAYER PORTALS AND CLEARINGHOUSES ✓ Aetna, UHC, Medicare/Medicaid portals — 3 years ✓ Availity (multi-payer clearinghouse) PRACTICE COMMUNICATION TOOLS ✓ RingCentral · Zoom · Weave WHAT I DELIVER ✓ ICD-10-CM coding for outpatient encounters (general/family, ophth, derma) ✓ Prior authorizations and pre-cert with payer follow-up ✓ Payment posting and ERA / 835 reconciliation ✓ Insurance claim follow-up, denial review, and appeals ✓ EMR data entry, chart cleanup, and patient record maintenance ✓ Patient communication (HIPAA-aware, warm and clear) ✓ Practice workflow documentation HOW I WORK I treat every record like it's about my own family — accuracy is non-negotiable. I'll tell you upfront if something sits outside my zone (I'm an outpatient coder, not surgical or inpatient), and I work US daytime hours so async response times stay short. I'm fully comfortable on phone and video calls in English. I work alongside a small technical partner who handles automation and AI-tooling engineering when projects benefit from it — my role is the medical domain side and final human review. Every output is human-checked before it leaves my desk. Open to ongoing engagements with US medical practices (especially family medicine, ophthalmology, dermatology) and to short-focused projects (denial backlog cleanup, EHR migration support, coding catch-up). Send me a message about your practice — I'll respond within hours. — Glaiza

3 years full-time Customer Service Representative for Anthem of CA. 3 years full-time Accounts Receivable Specialist 2 years full-time Eligibility and Benefits Verification Specialist Major Insurance Companies handled and locations: * Medicare Health Plan (California, Georgia, Illinois, New Mexico, North Carolina, Michigan, Ohio, Texas) * Medicaid Health Plan (California, Georgia, Illinois, New Mexico, North Carolina, Michigan, Ohio, Texas) * Humana, Aetna, Anthem Inc., Illinicare, Cigna Health, Meridian / Wellcare, Molina Healthcare Inc., UnitedHealth Care * ChampVA, Tricare East, Tricare West, Tricare for Life, Medical Billing Specialization: 1. Accounts Receivable on ENT, Speech Therapy, Behavioral Health (Mental Health and Substance Abuse) 2. Processing of Insurance Claims 3. Claims Creator, follow up on Claims, Sending Appeals for Denied Claims 4. Posting payments of Insurance Companies and Patients to Providers (physicians, clinics, etc.) 5. Comprehensive monthly reports on payments, rejected claims, pending claims. 6. Assess the eligibility of patients for insurance claims or benefits. 7. Providing solutions for Health Care Providers in order for insurance claims to be approved and paid. 8. Team leader for a group of Medical Billers to make sure all claims are posted before the deadline, payments are posted on time, and appeals are processed quickly. 9. Verification of patient's eligibility and benefits 10. Verification of the provider's participating status with the patient's plan Customer Service Specialization: 1. Handling Customer Service for BlueCross and BlueShield providers. 2. Quotation for eligibility and benefits of patients. 3. Providing information for claims process inquiry, claims status, and claims denials. 4. Processing Appeals for Denied Claims. 5. Providing easy communication between Health Care Providers and Medical Billers. Billing Software Experience: * Phicure * Citrix * Trizetto * Company-owned Electronic Health Record (EHR) and Practice Management Systems (for WRS Health) *Kareo With proven ability to collect and manage information efficiently and accurately. Can manage multiple assigned tasks and prioritize according to the level of urgency. Excellent written and verbal communication skills and a team player enjoying work and learning process. Conscientious in time management to make sure all deadlines are met beforehand. Willing to be trained for specific programs your company may be using. Above else, all data I come across are handled with utmost privacy and security. Contact me for full-time or part-time projects. I am available (and I prefer) to work during US business hours and can be flexible with any US time zones.