Charge Audit

4 days ago

Philippines HRTX Full-time ₱600,000 - ₱900,000 Contract

About the job Charge Audit - Nurse Coder

Qualifications:

  • Bachelors degree required.
  • AHIMA or AAPC coding certification is a strong advantage.
  • Preferably with 12 years of experience in Outpatient Facility Coding, specifically with Injection and Infusion services.
  • Prior experience working with Electronic Health Records (EHR), particularly EPIC.
  • Must be willing to work onsite in Taguig.

Key Responsibilities:

  • Analyze medical records, physician notes, and other documentation to identify billable services and ensure accurate coding using appropriate (CPT, ICD, and HCPCS) codes.
  • Review physician documentation and assign correct procedure charges, including CPT codes and applicable modifiers.
  • Identify and resolve discrepancies, missing charges, and other errors in the charge entry process.
  • Ensure compliance with client specifications, coding guidelines, Coding Clinics, HIPAA, and GRIC requirements.
  • Consistently meet daily productivity targets and incorporate feedback provided by the quality assurance team.
  • Stay current with coding updates and maintain service level agreements (SLAs) by actively participating in feedback sessions and ongoing education.