Inpatient Coding Quality Auditor
3 days ago
Sr. Recruitment Analyst | Psychometrician Job Description: 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. The Coding Quality Auditor will deliver written and verbal reports of findings to other department staff members, as well as hospital, region, and/or corporate operations staff as indicated. The Senior Coding Quality Auditor will escalate significant trends to Manager of Coding Quality & Performance, leadership and/or Conifer Compliance team as warranted. 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 all impact facility reimbursement and RVUs which impact profee reimbursement. Required Certifications/Licensure: Coder Certification such as CCS, CIC, CPC Working Conditions: Amenable to work in BGC Willing to work in a dayshift schedule Company Benefits: 100K SIGN-ON BONUS HMO with 2 FREE dependents Group life insurance PTO Credits Annual Performance Bonus Seniority level: Mid-Senior level Employment type: Full-time Job function: Administrative Industries: Hospitals and Health Care and Administrative and Support Services We are an equal opportunities employer and welcome applications from all qualified candidates. #J-18808-Ljbffr
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Inpatient Coding Quality Auditor
3 weeks ago
Taguig, Philippines Conifer Health Solutions Full timeOverview Inpatient Coding Quality Auditor role at Conifer Health Solutions. 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 to ensure hospital inpatient, outpatient, and profee claims, ICD-10-CM/PCS, and/or CPT codes are coded and...
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Inpatient Coding Quality Auditor
2 weeks ago
Taguig, National Capital Region, Philippines Conifer Health Solutions Full time ₱500,000 - ₱1,000,000 per yearJob Description: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...
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Inpatient Coding Quality Specialist
1 week ago
Taguig, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time $104,000 - $130,878 per yearJob Description: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...
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Outpatient Coding Quality Auditor
7 days ago
Taguig, Philippines Tenet Global Business Center, Inc. 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...
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Outpatient Coding Quality Auditor
1 week ago
Taguig, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time ₱1,200,000 - ₱2,400,000 per yearThe 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...
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Outpatient Coding Quality Auditor
2 weeks ago
Taguig, National Capital Region, Philippines Conifer Health Solutions Full time ₱900,000 - ₱1,200,000 per yearThe 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...
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Outpatient Coding Quality Auditor
3 weeks ago
Taguig, Philippines Conifer Health Solutions Full timeOutpatient Coding Quality Auditor Conifer Health Solutions is seeking the Auditor, Coding Quality to conduct 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...
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CRI - Outpatient Coding Quality Auditor
3 weeks ago
Taguig, Philippines Conifer Health Solutions Full timeOverview 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...
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Inpatient Coder
12 hours ago
Taguig, National Capital Region, Philippines CPS Asia Pacific Full time ₱900,000 - ₱1,140,000 per yearWe're Hiring: Inpatient Coder - Quality Assurance Specialist (PRN + IP)Join the growing healthcare team and play a key role in ensuring coding accuracy and compliance across inpatient medical records.Position: Inpatient Coder - Quality Assurance SpecialistSetup: (TWFH)Type: Non-Voice | PRN + IPSalary Range: PHP 75,000 – 95,000 (depending on IP QA...
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Inpatient Coder
11 hours ago
Taguig, National Capital Region, Philippines CPS Asia Pacific Full time ₱1,080,000 per yearJob Title: Inpatient Coder - Sr. AssociateIndustry: Medical / Healthcare / PRNEmployment Type: Full-Time, OnsiteLocation: TaguigSalary: PHP 70,000 – 90,000/month (depending on IP experience/tenure)Job Description:We are looking for an experienced Inpatient Coder - Sr. Associate to join our team. This is a non-voice role, ideal for candidates with strong...
