Medical Coding Manager
3 weeks ago
Job Title: Coding/Medical Coder Manager Location: McKinley, Taguig Work set-up: Onsite Shift: Morning Shift Overview Under the direction of the Medical Coding Vertical at AGS health, with ROI/Voice/ Medical Coding, SME will be responsible for governing learning rigor, behavioral and customer service, responsible for the design, delivery, and continuous improvement, conduct needs assessments, execute training delivery, develop reinforcements, and conduct evaluations Responsibilities Strong in US RCM domain and can be able to relate the clinical scenarios in ROI/Coding Overall responsible for the Governance and Rigor of the functional learning health (On the Job training, need based Learning, Continuous Education, Call quality improvement, addressing knowledge gaps, etc.) Responsible for managing the team of Process Coaches Able to deliver, project and motivate team members through effective learning rigor methodologies both in group and individual classroom dynamics. Prepare learning objectives, identify instructional strategies, plan evaluation methods, and propose training timelines as per organizational requirements. Produce collateral materials using internal resources. Conduct Training Need Analysis (TNA) in conjunction with Operations team and Transformation team. Executing the TNA to offer a solution that addresses operational requirements and ensure quality of training program conforms pre-defined standard. Coordinate with Operations team and Transformation team, to understand client expectations, business requirements. Be proactive, committed and engaged in transition project and actively participate in all internal and /client discussions Keep information and courses up to date as per the business requirement. Participate in inter/department calibrations to ensure consistent upskilling of delivery approach. Act as the “go to” person within a project for questions and problems within his/her area of expertise Participate in department discussion on learning and development initiatives and stay abreast of department activities and goals. Perform other tasks as required to meet department goals. Experience Surgery coding experience Infusion/Injection coding experience Competencies Communication – Expressing thoughts verbally, in writing, and graphically in clear, organized fashion according to the audience’s characteristics and needs. Applying active listening skills of attending, acknowledging and summarizing to facilitate understanding. Technical/Professional Knowledge - Should be proficient in US Healthcare and have a broad and deep understanding of Medical Coding Vertical. Learning Facilitation – Strategizing structured learning programs with individuals or groups using Medical Coding skills and required visual aids. Motivational Fit – Self‑motivated and independent and the ability to work as a team. Analysis/Problem Assessment – Securing relevant information through multiple methods and various sources to determine key issues and make comparisons/analysis. Teamwork/Collaboration – Working effectively through proper communication and consensus building with people within and outside the organization to accomplish team and organizational objectives. Practical Learning – Seeking, assimilating and applying new information to improve personal and team’s performance. Planning and Organizing/Work Management – Establishing a course of action that utilizes department resources and accommodates client and customer requirements to accomplish team and organizational objectives. Innovation – Generating creative, novel methods and solutions to learning experiences, communication and organizational challenges. Education and Certification Graduate of a 4‑year life sciences degree. Active Medical Coder License/Certificate #J-18808-Ljbffr
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PHRN - Medical Coding Manager
2 weeks ago
Taguig, Philippines Carelon Global Solutions Full timeJob Profile Summary Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. Primary duties may include, but are not limited to: Analyzes and audits claims by integrating medical chart coding principles,...
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PHRN - Medical Coding Manager
2 weeks ago
Taguig, National Capital Region, Philippines b707e90b-bfaa-4036-9cae-f80dbd385947 Full time $60,000 - $120,000 per yearJob Description:Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.Primary duties may include, but are not limited to:Analyzes and audits claims by integrating medical chart coding principles, clinical...
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Medical Coding Academy
2 weeks ago
Taguig, National Capital Region, Philippines Tenet Healthcare Full time ₱300,000 - ₱600,000 per yearWe are hiring outpatient medical coders who are ready to advance their careers by training in inpatient medical coding through our Coding University.Qualifications:AHIMA/AAPC certification for Outpatient Medical Coding (e.g., COC, CPC,CCS)Amenable to work onsite in BGC Taguig (Dayshift, Weekends Off)What's in it for you?Competitive Salary Package.We have a...
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Quality Auditor-Medical Coding Surgery
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Taguig, National Capital Region, Philippines Spanex IT Services Full time ₱900,000 - ₱1,200,000 per yearURGENTLY HIRINGQuality Auditor - Medical Coding SurgerySurgical Coding Expert (CPT 1-6 series) with deep knowledge of Implant Billing (Cardiac, Ortho, Neuro, etc.).Skilled in coding Endoscopies and L&D (Vaginal/C-Section).Experience with Charge Audits for implants, supplies (HCPCS), meds, and Recovery Room (Rev 710).Proficient in 1&I...
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Medical Policy Reviewer
2 weeks ago
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In-Patient Medical Coder
4 weeks ago
Taguig, Philippines HCM Nexus Full timeJob Summary: We are seeking a detail-oriented and experienced In-Patient Medical Coder to support accurate and compliant coding of inpatient medical records. The role involves reviewing clinical documentation and assigning appropriate diagnosis and procedure codes to ensure timely and accurate billing processes. The ideal candidate has a strong command of...
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Inpatient Coding Quality Auditor
3 weeks ago
Taguig, Philippines Tenet Global Business Center, Inc. Full timeJob 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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In-Patient Medical Coder
2 weeks ago
Taguig, National Capital Region, Philippines HCM Nexus Full time ₱40,000 - ₱80,000 per yearJob Summary:We are seeking a detail-oriented and experienced In-Patient Medical Coder to support accurate and compliant coding of inpatient medical records. The role involves reviewing clinical documentation and assigning appropriate diagnosis and procedure codes to ensure timely and accurate billing processes. The ideal candidate has a strong command of...
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Inpatient Coding Quality Auditor
3 weeks ago
Taguig, Philippines Conifer Health Solutions Full timeInpatient Coding Quality Auditor Conifer Health Solutions 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...
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Outpatient Coding Quality Auditor
4 weeks ago
Taguig, Philippines Conifer Health Solutions Full time2 weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Direct message the job poster from 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 as requested...