IP CODING QUALITY AUDITOR

4 days ago

Metro Manila Philippines Tenet Healthcare Full time

Quality 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 nationally recognized coding guidelines, standards, regulations and regulatory requirements, as well as corporate coding compliance policies. The Quality Auditor’s role is designed to ensure the integrity of Conifer’s coding program is consistently maintained. Duties and Responsibilities Understands, interprets and applies coding guidelines for coding quality audits. Audits inpatient, outpatient and profee encounters with complex code assignments. Review of complex medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including, but not limited to, ICD-10-CM/PCS codes, MS-DRGs, APR-DRGs, CPT’s, APC’s, and discharge disposition which impact facility reimbursement and RVUs. Required Certifications / Licensure Coder Certification such as CCS, CIC, CPC Working Conditions Amenable to work in BGC Willing to work in a day shift schedule Company Benefits 100K SIGN-ON BONUS Group life insurance PTO Credits Annual Performance Bonus Seniority Level Director Employment Type Full-time Job Function Health Care Provider Industries Hospitals and Health Care, Medical Practices, and Health and Human Services Location: Quezon City, National Capital Region, Philippines #J-18808-Ljbffr

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