Nurse or Certified Coder

Overview

BW Interests LLC is seeking nursing professionals to join our growing medical coding and healthcare revenue cycle team in Costa Rica.

This position is specifically designed for nurses who want to apply their clinical knowledge to a new career in U.S. medical coding, physician billing, and healthcare documentation.

Previous medical coding experience or certification is not required. We are looking for individuals with strong nursing backgrounds who understand medical terminology, diagnoses, treatments, procedures, and clinical documentation.

Selected candidates who do not already hold an appropriate medical coding certification will receive company-sponsored training and certification preparation. BW Interests will pay for approved medical coding training and certification.

The Nurse Medical Coding Specialist will review medical records and physician documentation to ensure diagnoses and procedures are accurately represented for U.S. physician and professional medical billing.

This is a full-time, office-based position in Costa Rica.

Responsibilities

• Review physician notes, medical records, laboratory results, procedure reports, and other clinical documentation.
• Interpret complex medical documentation using nursing education and clinical knowledge.
• Assign and validate appropriate diagnosis and procedure codes for U.S. physician and professional billing.
• Apply ICD-10-CM, CPT, and HCPCS coding guidelines.
• Review documentation for completeness, accuracy, and consistency.
• Identify missing, unclear, or conflicting clinical documentation and communicate questions to the appropriate team.
• Review coded claims for accuracy before billing submission.
• Identify coding and documentation issues that could result in claim denials or payment delays.
• Collaborate with coding specialists, healthcare professionals, and billing teams.
• Maintain strict confidentiality and appropriately handle protected patient information.
• Learn and remain current on U.S. medical coding guidelines, payer requirements, and healthcare billing practices.
• Participate in company-sponsored medical coding training and certification preparation, when applicable.
• Meet established productivity, quality, and accuracy standards following training.

Requirements

Education

• University degree in Nursing required (Bachillerato Universitario en Enfermería, Licenciatura en Enfermería, or equivalent recognized qualification).
• Previous professional nursing experience preferred but not required.
• Recent nursing graduates are encouraged to apply.

English Language – Mandatory

• Strong English reading comprehension is required.
• Must be able to independently read, understand, and interpret medical records written in English.
• Must understand English-language medical terminology, physician documentation, diagnoses, procedures, and clinical descriptions.
• Candidates must be able to demonstrate English medical reading comprehension during the selection process.

Clinical Knowledge

Candidates must have a strong understanding of:

• Medical terminology
• Human anatomy and physiology
• Diseases and diagnoses
• Medications and pharmacology
• Medical procedures and treatments
• Clinical documentation
• Interpretation of medical records

Additional Requirements

• Excellent attention to detail and analytical skills.
• Strong computer skills and ability to learn electronic health record (EHR) and medical billing systems.
• Ability to work accurately with detailed clinical information for extended periods.
• Strong organizational and time-management skills.
• Commitment to patient confidentiality and healthcare data privacy.
• Willingness to complete company-sponsored medical coding training and obtain an approved medical coding certification, if not already certified.
• Ability to work full-time at our Costa Rica office.

Preferred Qualifications

• Experience reviewing medical records or clinical documentation.
• Previous experience in nursing, utilization review, clinical documentation, healthcare administration, or medical billing.
• Familiarity with ICD-10-CM, CPT, or HCPCS.
• Experience using electronic health record systems.
• CPC, CCS, CRC, or other recognized medical coding certification is a plus, but is not required.
• Experience in internal medicine, family medicine, surgery, cardiology, emergency medicine, or other clinical specialties.

Training and Professional Development

BW Interests is committed to developing qualified nursing professionals into skilled U.S. medical coding specialists.

For candidates without previous medical coding experience or certification, we offer:

• Company-sponsored training in U.S. medical coding.
• Training in ICD-10-CM, CPT, and HCPCS coding systems.
• Education in U.S. physician billing and healthcare revenue cycle processes.
• Preparation for an approved professional medical coding certification.
• Company-paid approved certification examination fees.
• Ongoing professional development and coding education.
• Opportunities for long-term career growth in medical coding and healthcare administration.

Employees will receive training and support before being expected to independently meet production coding standards.

Who We Are Looking For

This is an excellent opportunity for nursing professionals who enjoy the analytical side of medicine and want to build a career outside traditional bedside nursing.

We are particularly interested in individuals who:

• Have strong clinical knowledge.
• Can confidently read and understand medical documentation in English.
• Are highly detail-oriented.
• Enjoy analyzing complex medical information.
• Are interested in learning U.S. medical coding.
• Are comfortable working with computers and electronic medical records.
• Are organized, dependable, and motivated to learn.
• Want to develop a long-term career in healthcare administration and medical coding.

Job Type: Full-time
Work Location: In Person – Costa Rica

Job Type: Full-time

Pay: ₡800,000.00 - ₡1,400,000.00 per month

Work Location: In person