Quality Auditor-Medical Coding Surgery

Quality Auditor - Medical Coding SurgerySurgical Coding Expert (CPT 1-6 series) with deep knowledge of Implant Billing (Cardiac, Ortho, Neuro, etc.).Skilled in coding Endoscopies and L&D (Vaginal/C-Section).Experience with Charge Audits for implants, supplies (HCPCS), meds, and Recovery Room (Rev 710).Proficient in 1&I (Infusion/Injection/Hydration),...

We are hiring outpatient medical coders who are ready to advance their careers by training in inpatient medical coding through our Coding University.Qualifications:AHIMA/AAPC certification for Outpatient Medical Coding (e.g., COC, CPC,CCS)Amenable to work onsite in BGC Taguig (Dayshift, Weekends Off)What's in it for you?Competitive Salary Package.We have a...

Team Leader, CodingExpert in ED (Injection/Infusion) and Surgery codingWith valid coding certificationsWork from office in Taguig

Job Description:Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.Primary duties may include, but are not limited to:Analyzes and audits claims by integrating medical chart coding principles, clinical...

Responsibilities:Develop full understanding of each medical and claim payment policy, to ensure accurate diagnosis and procedure code assignment. Understand CMS/regulatory requirements, IBX/AH benefit structure, managed care rules (e.g., HMO Capitation, PPO Network Rules) and other business rules to assure diagnosis and procedure code alignmentReal-time...

Qualifications:Must have an active PHRN LicenseMust have an active Medical Coding Certification (CPC, COC, CCS and/or CCS-P)With at least 1.5 years of ProFee Coding(Transplant, Surgery, Oncology.. etc.) With experience in any EMR systems such as Epic, Cerner & Meditech Working in an evolving healthcare setting, we use our shared expertise to deliver...

Position Title: PHRN Quality Auditor - Prior/Clinical AuthorizationLocation: McKinley, TaguigWork Set-up: Full Onsite | Night ShiftDirect Hire | Permanent role Qualifications: Must hold an active PHRN license With relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment Open for Associate/CSR with 4+ years of...

Job Summary:We are seeking a meticulous and experienced Quality Analyst to monitor and enhance the accuracy and compliance of medical billing operations in a US healthcare call center environment. The ideal candidate will have a strong understanding of RCM workflows, call center quality metrics, and US healthcare billing standards.Key Responsibilities:Audit...

Benefits:HMO with FREE 2 dependentsGroup life insurance10% Annual Performance IncentiveAnnual Appraisal20 Paid Time Off (PTO) per yearWork ArrangementOnsite or HybridQualifications:At least 3-5 years of experience performing outpatient medical record codingAt least 1 year of experience in a supervisory positionRequired : AHIMA or AAPC coding...

Job Summary:We are seeking a detail-oriented and experienced In-Patient Medical Coder to support accurate and compliant coding of inpatient medical records. The role involves reviewing clinical documentation and assigning appropriate diagnosis and procedure codes to ensure timely and accurate billing processes. The ideal candidate has a strong command of...