ip coding quality auditor

6 days ago

Manila, National Capital Region, Philippines Tenet Healthcare Full time ₱1,200,000 - ₱2,400,000 per year

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:

  1. Understands, interprets and applies coding guidelines for coding quality audits. Audits inpatient, outpatient, and profee encounters with complex code assignments.
  2. Review of complex medical records to determine coding accuracy of all documented diagnoses and procedures.
  3. 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 on day 1
  • Group life insurance
  • PTO Credits
  • Annual Appraisal
  • Annual Performance Bonus

  • op coding quality auditor

    1 week ago

    Manila, National Capital Region, Philippines Tenet Healthcare Full time ₱180,000 - ₱300,000 per year

    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...

  • Quality Auditor

    2 weeks ago

    Manila, National Capital Region, Philippines Allegro MicroSystems Full time ₱900,000 - ₱1,200,000 per year

    The Allegro team is united by a clear purpose—advancing technologies that make the world safer, more efficient, and more sustainable. With over 30 years of experience in semiconductor innovation, we bring that purpose to life across every part of the business—from breakthrough product development and customer success to how we show up for each other and...

  • Quality Auditor

    6 days ago

    Manila, National Capital Region, Philippines Private Advertiser Full time ₱300,000 - ₱600,000 per year

    About the Role:We're looking for a detail-oriented Quality Auditor to join our team. This role is critical in ensuring that our customer service operations meet the highest standards of quality, compliance, and performance. If you have a passion for process improvement and a keen eye for detail, we want to hear from youKey Responsibilities:Evaluate customer...

  • Telephony IP

    2 weeks ago

    Manila, National Capital Region, Philippines ARTECH TECHNOLOGY INC Full time ₱400,000 - ₱800,000 per year

    Job Title: IP TelephonyAssist in defining requirements for data center technology components and infrastructureDesign and build network architecture for data centers ensuring scalability, reliability and securityCollaborate with cross functional teams to ensure the smooth functioning of the infrastructureConduct testing efforts to identify and resolve any...

  • Inpatient Medical Coding

    2 days ago

    Manila, National Capital Region, Philippines Shearwater Health Full time ₱200,000 - ₱250,000 per year

    Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersRequired Qualifications:Medical Allied graduateWith an active CCS/CIC/CPC Coding Certification with at least 6 months coding experienceWith IP Coding experience or preferably with relevant experience as a QA.Our Clinicians and Associates...

  • Medical Coder Quality Assurance Analyst

    2 weeks ago

    Manila, National Capital Region, Philippines Private Advertiser Full time ₱600,000 - ₱1,200,000 per year

    Job ResponsibilitiesConduct internal audits to ensure accuracy, consistency, and compliance with coding standards (ICD-10, CPT, HCPCS).Review denied or rejected claims for issues related to coding, documentation, and clinical validation.Identify and correct coding errors and discrepancies.Provide feedback and education to coders and healthcare providers to...

  • Auditor

    2 weeks ago

    Manila, National Capital Region, Philippines Bill Gosling Outsourcing Full time

    Join a Team That's Passionate About Making Lives BetterAt Bill Gosling Outsourcing, we believe that success starts with an amazing team. We are a global leader in outsourcing solutions, we focus on making lives better, one connection at a time. We provide tailored solutions to businesses around the globe, specializing in customer care, sales, and financial...

  • Auditor

    2 weeks ago

    Manila, National Capital Region, Philippines Bill Gosling Outsourcing Full time

    Join a Team That's Passionate About Making Lives BetterAt Bill Gosling Outsourcing, we believe that success starts with an amazing team. We are a global leader in outsourcing solutions, we focus on making lives better, one connection at a time. We provide tailored solutions to businesses around the globe, specializing in customer care, sales, and financial...

  • Auditor General

    2 weeks ago

    Manila, National Capital Region, Philippines Asian Development Bank (ADB) Full time ₱120,000 - ₱240,000 per year

    Join Our Mission to Foster Prosperity in AsiaAre you ready to make a difference in the future of Asia and be a catalyst for positive change? We are thrilled to offer a unique opportunity to become an important part of the prestigious Asian Development Bank (ADB). At ADB, our mission is simple yet powerful: to alleviate poverty and promote sustainable...

  • Outpatient Auditor Coder | 250K Sign-On Bonus | WFH

    6 days ago

    Manila, National Capital Region, Philippines Shearwater Health Full time ₱250,000 - ₱500,000 per year

    Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersQualifications:Must be a bachelor's graduate of any courseWith AHIMA and/or AAPC Coding Credential (CPC, CIC, CCS)At least 1 year of Outpatient SDS/ED/OBS coding experience. Experience in Outpatient coding audit is a plus.Benefits:Our...