Inpatient Medical Coding Auditor

2 days ago

Work from Home, Philippines Coronis Health LLC Full time ₱900,000 - ₱1,200,000 per year

Medical Coding Auditor is responsible in maintaining accurate audit to medical records coded by the coders and communicate with them on the findings. Auditor must ensure compliance to coding guidance, facility specific instructions and confidentiality of information. Reviews and develop reports essential for quality and compliance standards. Medical coding auditor reports to Operations and Quality.

Essential Functions:

  1. Audits medical records that are coded to identify possible undercoded and/or upcoded services.

  2. Prepares reports of the findings and meets with the respective coder to communicate clearly the errors and provide education in line with appropriate coding practices and compliance issues.

  3. Inpatient Specialty: principal diagnosis, secondary diagnosis, procedures (ICD 10 PCS), Diagnosis-Related Group (DRGs), Present On Admission (POA) findings, discharge disposition.

  4. Stays current with Official Coding and reporting Guideline, CMS directives for ICD 10 coding and conducts intensive research for acceptable source of references in coding updates, disease process, procedure details etc., to provide accurate audit and feedback to coding staff.

  5. Keeping updated to facility specific guidelines and compliance to ensure accuracy in auditing.

  6. Attends necessary coding education sessions to receive updated coding information and changes in coding and/or regulations.

  7. Able to think independently and impartial judgment.

  8. Able to adapt on technologies use in coding and auditing.

  9. Maintains confidentiality of information.

  10. Adheres to all HIPAA privacy and security policies and practices. Reports violations and incidents they observe and cooperates in investigations as requested by management.

  11. Capable of doing coding to its minimum as needed in the production.

  12. Perform as a team player

  13. Attendance in accordance with company HR and department policies

  14. Other tasks/functions that may be assigned by the company as per business requirement; these may change from time to time to reflect the changing requirement of your position and our business.

Education/ Experience:

  1. Bachelor's Degree in Medical Records or any Allied Medical Field.

  2. Preferably possess a current CCS/CPC/CCS-P/CIC/COC/CCA (or equivalent) medical coder certification.

  3. Must have at least two (2) years coding experience within the organization and excellent annual evaluation rating

Job Type: Full-time

Benefits:

  • Paid training

Work Location: Remote

  • Inpatient Coding Specialist

    1 week ago

    Work from Home, Philippines ACCPRO INTERNATIONAL Full time ₱504,000 - ₱648,000 per year

    Inpatient Coding SpecialistLocation: Quezon City or BGCWork Setup: Onsite OR Work From HomeWork Shift: DayshiftRole OverviewWe are looking for skilled Inpatient Medical Coders to join our growing healthcare team. You will be responsible for reviewing patient medical records, identifying missing or inaccurate information, and ensuring proper coding for...

  • Inpatient Medical Coder

    4 days ago

    Work from Home, Philippines Coronis Health LLC Full time ₱300,000 - ₱600,000 per year

    As a Medical Coder, you will be responsible for reviewing medical records and assigning appropriate diagnostic and procedural codes for patient services. Your role ensures compliance with coding guidelines and regulations. Attention to detail is crucial to accurately translate medical procedures, diagnoses, and treatments into standardized codes. Your work...

  • Coding Denial Specialist

    1 week ago

    Work from Home, Philippines Coronis Health LLC Full time ₱900,000 - ₱1,200,000 per year

    Coding Denial Representative is responsible to review payor's denial and identify the root cause ofthe denials account. Coding Denial Representative determines if the account is appealable or not.Coding Denial Representative must understand and comply with the process established by theFederal and State regulations, Payor's specific guidelines, Official...

  • Medical Coder

    4 days ago

    Work from Home, Philippines Boji Medical Billing Full time ₱1,920,000 - ₱2,400,000 per year

    Medical CoderPurpose: Medical Coder translates important medical information into simple codes for the purpose of documenting medical records and for medical billing.Job Description: We are looking for a competent medical coder to assist us with coding medical documentation for insurance claims and for our databases. The medical coder will assign required...

  • HOME HEALTH MEDICAL CODING

    15 hours ago

    Work from Home, Philippines with-andy Full time ₱1,000,000 - ₱1,500,000 per year

    Join a fast-growing US-based healthcare AI company.We are currently seeking applicants for any shifts, with a minimum part-time commitment and incentives for more hours workedWe provide AI-powered medical coding to help home health agencies maximize revenue.WHAT YOU'LL DO:Review AI-generated home health codes for accuracy and complianceApply ICD-10 coding...

  • Medical Coder

    2 days ago

    Work from Home, Philippines VTIME TECH CONSULTING INC Full time ₱480,000 - ₱720,000 per year

    Inpatient and Outpatient Medical Coder for Coronis HealthFull time WFH, Equipment provided2 years and above experience in the same field is requiredMust be a certified medical coderJob Types: Full-time, PermanentPay: Php40, Php60,000.00 per monthBenefits:Additional leaveCompany Christmas giftCompany eventsHealth insuranceLife insuranceOpportunities for...

  • Medical Coder

    4 days ago

    Work from Home, Philippines Preferred Health Management Full time ₱250,000 - ₱450,000 per year

    Medical Coder - ContractPosition Summary:We are seeking an experienced and detail-oriented Certified Medical Coder to support our team on a contract basis. The ideal candidate will have strong experience in Emergency Department (ED) and Evaluation & Management (E/M) coding, with a solid understanding of ICD-10 and CPT coding standards.Medical Coder Primary...

  • Revenue Auditor

    1 week ago

    Work from Home, Philippines Privato Hotel Full time ₱120,000 - ₱360,000 per year

    · Check that revenue and adjustment posting for the day are correctly posted using the right revenue and adjustment code and authorized by the managers.· Maintain a file of all accounting audit reports monthly for internal and external purpose. All filing is to be kept current.· Preparation and posting of monthly journal vouchers.· Ensure that all...

  • Outpatient Medical Coder

    4 days ago

    Work from Home, Philippines Coronis Health LLC Full time ₱60,000 - ₱80,000 per year

    As a Medical Coder, you will be responsible for reviewing medical records and assigning appropriate diagnostic and procedural codes for patient services. Your role ensures compliance with coding guidelines and regulations. Attention to detail is crucial to accurately translate medical procedures, diagnoses, and treatments into standardized codes. Your work...

  • home health medical coder

    15 hours ago

    Work from Home, Philippines with-andy Full time ₱1,000,000 - ₱2,000,000 per year

    We are currently seeking applicants for any shifts, with a minimum part-time commitment and incentives for more hours workedWe provide AI-powered medical coding to help home health agencies maximize revenue.WHAT YOU'LL DO:Review AI-generated home health codes for accuracy and complianceApply ICD-10 coding rules and OASIS requirementsSequence and validate...