Outpatient Medical Coder QA

3 days ago

Quezon City, National Capital Region, Philippines Private Advertiser Full time

We are looking to hire experienced Outpatient Medical Coder QAs with coding certifications in a remote set-up

MUST have requirements

  • At least 5 years of Medical Coding for Outpatient facility settings
  • Has exposure to multiple specialties (Coding and Auditing for Same Day Surgery, Observation, and ED).
  • Preferably in Ancillary, Clinic, or E/M experience
  • Has and maintains at least 1 role-related certification (CPC / COC / CCS / CCS-P if OP role / CPMA if auditor role)

Responsibilities

  • Conduct audits in various medical coding specialties in inpatient settings to assess coding accuracy and ensure adherence to official coding guidelines.
  • Provide detailed rationale and supporting references for recommendations and findings.
  • Utilize industry-recognized references to support review findings, such as the ICD-10-CM Official Guidelines for Coding and Reporting.
  • Identify coding error trends across multiple specialties to aid in root cause analysis.
  • Stay current with updates in medical coding guidelines, payer-specific requirements, and client-specific requirements.
  • Prepare and present reports summarizing audit findings and error trends.
  • Identify smart observations for process improvements with quantifiable business impact.

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