
Inpatient Coding Quality Auditor
4 days ago
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 allimpact 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
- Competitive Salary
- HMO with 2 FREE dependents
- Group life insurance
- PTO Credits
- Annual Appraisal
- Annual Performance Bonus
-
Inpatient Coding Quality Auditor
4 weeks ago
Taguig, National Capital Region, Philippines Conifer Health Solutions Full timeOverviewInpatient 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...
-
Inpatient Coding Quality Specialist
9 hours 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...
-
Outpatient Coding Quality Auditor
4 days 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...
-
Outpatient Coding Quality Auditor
10 hours 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...
-
Inpatient DRG Auditor
4 days ago
Taguig, National Capital Region, Philippines Shearwater Health Full time $40,000 - $60,000 per yearLet your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersQualifications:Must be a medical allied graduatePreferably PHRNWith AHIMA and/or AAPC Coding Credential (CPC, CIC, CCS)At least 1 year of coding experience. Experience in Inpatient coding audit is a plus.Benefits:Our Clinicians and Associates...
-
Inpatient Medical Coder
4 weeks ago
Taguig, National Capital Region, Philippines Tenet Healthcare Full timeOverviewJoin to apply for the Inpatient Medical Coder role at Tenet Healthcare.ResponsibilitiesAssign diagnosis and procedure codes to inpatient records using ICD-10-CM, ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations.Code for patient types including low acuity inpatient, OB/NB, acute psych, and...
-
DRG Validation Auditor
4 days ago
Taguig, National Capital Region, Philippines Enigma Farms Ltd Full time ₱1,200,000 - ₱1,800,000 per yearJob Title: MSDRG NurseLocation: Taguig CityWork set up: HybridSalary: PHP 60,000 - PHP 70,000Work schedule: Night shiftPosition DescriptionThe DRG Validation Auditor is part of the DRG Validation Team and is responsible for reviewing medical records to ensure accurate coding and proper reimbursement for clinical services provided to members of Commercial and...
-
Quality Auditor
3 weeks ago
Taguig, National Capital Region, Philippines HR TechX Corp. Full timeOverviewQuality Auditor (RCM, Healthcare, Coding) at HR TechX Corp.Role Summary: Under the direction of the ROI, the auditor will be responsible for audit coverage for associates, perform audits on the assigned accounts, maintain quality at 97%, maintain productivity standard of 100%, and achieve an error detection rate at 4%.ResponsibilitiesMonitor and...
-
Inpatient Medical Coder
4 days ago
Taguig, National Capital Region, Philippines Conifer Health Solutions Full time ₱800,000 - ₱1,200,000 per yearThe IP Coder is responsible for assigning diagnostic and procedural codes to inpatient charts, of moderate to high complexity, using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. They abide by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical...
-
Medical Coding Academy
2 days ago
Taguig, National Capital Region, Philippines Tenet Healthcare Full time ₱900,000 - ₱1,200,000 per yearWe are hiring outpatient medical coders who are ready to advance their careers by training in inpatient medical coding through our Coding University.What's in it for you?We have a team of highly experienced and skilled professionals to help and provide you with comprehensive training and grow a promising career in the Medical Coding field. Our goal is to...