Coding Auditor
7 days ago
Health Business Solutions (HBIZ), founded in 2002, is a high-impact, transitional outsourcing firm that provides near-term relief to overturn denied claims and accelerate cash while concurrently working with providers and health systems to address Revenue Cycle under-performance. The Coding Auditor will perform detailed reviews of medical documentation and coding, ensuring accuracy, compliance with coding standards, and adherence to regulations such as ICD-10, CPT, and HCPCS. The auditor will work closely with coding teams, providers, and clinical staff to educate on coding practices and provide feedback for continuous improvement.Key Responsibilities: Review and Audit Medical Records : Conduct audits of medical records to ensure that coding is accurate, compliant with payer requirements, and adheres to national coding guidelines (ICD-10, CPT, and HCPCS codes). Ensure Regulatory Compliance : Ensure all medical coding aligns with applicable federal, state, and local laws and regulations (including Medicare and Medicaid guidelines). Identify Errors and Gaps : Detect and correct coding discrepancies, missing or incomplete documentation, and over- or under-coding issues. Provide Feedback and Education : Educate coding staff and healthcare providers on accurate coding practices, documentation improvement, and regulatory changes. Prepare Audit Reports : Compile detailed audit reports highlighting findings and corrective actions needed, including recommendations for process improvement. Support Revenue Cycle : Work closely with the revenue cycle management team to ensure proper coding for billing and reimbursement. Keep Up to Date with Coding Changes : Stay current with updates to coding standards, compliance regulations, and healthcare laws. Required Skills & Qualifications: Certifications : Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or similar certification is required. Experience : Minimum of 2-3 years of medical coding or auditing experience and experience with risk adjustment audits, clinical documentation improvement (CDI), and payer audits. Knowledge of Coding Systems : Strong knowledge of ICD-10, CPT, and HCPCS coding systems, and familiarity with DRG, E/M coding. Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field. Attention to Detail : Exceptional attention to detail with the ability to identify coding and documentation errors. Communication Skills : Strong written and verbal communication skills, with the ability to provide feedback to coding teams and clinicians. Analytical Skills : Ability to analyze data and develop insights that drive improvements in coding accuracy and compliance. Familiarity with Compliance Standards : Knowledge of healthcare compliance standards such as HIPAA, Medicare, and Medicaid regulations. Proficiency in Software : Experience using coding and billing software (e.g., Epic, 3M Encoder, Cerner, or other EHR systems). #J-18808-Ljbffr
-
Coding Auditor
2 days ago
Manila, National Capital Region, Philippines Health Business Solutions Full time ₱900,000 - ₱1,200,000 per yearHealth Business Solutions (HBIZ), founded in 2002, is a high-impact, transitional outsourcing firm that provides near-term relief to overturn denied claims and accelerate cash while concurrently working with providers and health systems to address Revenue Cycle under-performance. The Coding Auditor will perform detailed reviews of medical documentation and...
-
OP CODING QUALITY AUDITOR
3 weeks ago
, Metro Manila, Philippines Tenet Healthcare Full timeThe Auditor, Coding Quality conducts Initial Coding Quality Reviews (IQRs), Monthly Coding Quality Reviews (MQRs), Focused Quality Audits, and other ad hoc coding quality audits as requested to ensure hospital inpatient, outpatient, and profee claims, ICD-10-CM/PCS, and/or CPT codes were coded and billed in accordance with nationally recognized coding...
-
IP CODING QUALITY AUDITOR
2 weeks ago
, Metro Manila, Philippines Tenet Healthcare Full timeQuality Auditor – Coding Quality The Auditor, Coding Quality conducts Initial Coding Quality Reviews (IQRs), Monthly Coding Quality Reviews (MQRs), Focused Quality Audits, and other ad hoc coding quality audits as requested to ensure hospital inpatient, outpatient, and profee claims, ICD-10-CM/PCS, and/or CPT codes were coded and billed in accordance with...
-
IT Senior Auditor
2 weeks ago
Manila, Philippines Crawford & Company Full timeJoin to apply for the IT Senior Auditor role at Crawford & Company . Responsible for performing internal reviews of complex financial, operational, and IT processes, and auditing internal controls in various areas of the organization. Also responsible for identifying exceptions to procedures and standards and developing specific solutions or recommendations....
-
IT Senior Auditor
1 week ago
Manila, National Capital Region, Philippines Crawford and Company Full time ₱60,000 - ₱180,000 per yearJob DescriptionResponsible for performing internal reviews of complex financial, operational, and IT processes, and audits internal controls in various areas of the organization. Also responsible for identifying exceptions to procedures and standards, and develops specific solutions or recommendations.ResponsibilitiesParticipates in complex audit programs...
-
IT Senior Auditor
2 days ago
Manila, National Capital Region, Philippines Crawford Full time ₱1,500,000 - ₱2,500,000 per yearDescriptionResponsible for performing internal reviews of complex financial, operational, and IT processes, and audits internal controls in various areas of the organization. Also responsible for identifying exceptions to procedures and standards, and develops specific solutions or recommendations.ResponsibilitiesParticipates in complex audit programs and...
-
Manila, National Capital Region, Philippines Bureau Veritas Full time ₱120,000 - ₱180,000 per yearOverview: Join Bureau Veritas, a global leader in testing, inspection, and certification services. We are seeking a responsible Freelance / Subcon APSCA Auditor - CSCA level for conducting independent social compliance audits across supply chains, ensuring adherence to labor laws, ethical standards, and client codes of conduct. As a CSCA-certified auditor,...
-
Sr Auditor
2 days ago
Manila, National Capital Region, Philippines Crawford Full time ₱900,000 - ₱1,200,000 per yearDescriptionResponsible for performing internal reviews of complex financial, operational, and IT processes and audits internal controls in various areas of the organization. Also responsible for identifying exceptions to procedures and standards, and develops specific solutions or recommendations.ResponsibilitiesParticipates in complex audit programs and may...
-
IT/ISMS Management System Auditor
2 days ago
Chino Roces Ave, Makati, Metro Manila, Philippines SGS Full time ₱900,000 - ₱1,200,000 per yearCompany Description SGS is the world's leading inspection, verification, testing and certification company. SGS is recognized as the global benchmark for quality and integrity. Job Description Primary Responsibility: Responsible for performing and completing the third-party audit cycle, and conducting specific training programs. Also responsible for...
-
, Metro Manila, Philippines Nezda Technologies, Inc. Full timeWE’RE HIRING: MEDICAL CODERS | QUEZON CITY & BGC Advance your medical coding career with a global healthcare leader! We are looking for nursing and medical‑allied professionals with strong coding backgrounds to join our growing team. Enjoy Competitive Salary and Comprehensive Benefits Package Work Setup: Onsite – Quezon City / BGC Schedule: Night Shift...
