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Outpatient Coding Quality Specialist

3 months ago

Manila, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time

Benefits:

15% Night differential20 Paid Time Off (PTO) per yearAnnual AppraisalAnnual IncentiveHybrid Work ArrangementHMO with free dependentsGroup life insurance Position Summary:

Conducts data quality audits of Outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology.

Essential Duties and Responsibilities:

Consults facility leaders and staff on best practices, methodology, and tools for accurately coding.Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures.Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment.Reviews medical records to determine accurate required abstracting elements (facility/client/payer specific elements) including appropriate discharge dispositionReviews medical records for the determination of accurate assignment of all documented ICD-10-CM codes for diagnoses and procedures. Qualifications:Must have 3 years of Outpatient Medical Coding experienceAt Least 1 year of coding audit experienceREQUIRED: CPC, COC, CIC, and/or RHIT certification from AAPC or AHIMA