Outpatient Coding Quality Auditor

2 days ago

Taguig, National Capital Region, Philippines Conifer Health Solutions Full time $80,000 - $100,000 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 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, 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 all facility reimbursement and RVUs which impact profee reimbursement.

Required Certifications/Licensure:

  • Coder Certification such as CCS, COC, CPC

Working Conditions:

  • Amenable to work in BGC
  • Willing to work in a dayshift schedule

Company Benefits:

  • 50K SIGN-ON BONUS
  • Competitive Salary
  • HMO with FREE dependents
  • Group life insurance
  • PTO Credits
  • Annual Appraisal
  • Annual Performance Bonus

  • Outpatient Coding Quality Auditor

    6 days ago

    Taguig, National Capital Region, Philippines Conifer Health Solutions Full time

    Outpatient Coding Quality AuditorConifer Health Solutions is seeking the Auditor, Coding Quality to conduct 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...

  • CRI - Outpatient Coding Quality Auditor

    6 days ago

    Taguig, National Capital Region, Philippines Conifer Health Solutions Full time

    OverviewThe 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...

  • Inpatient Coding Quality Auditor

    2 days ago

    Taguig, National Capital Region, Philippines Conifer Health Solutions Full time ₱500,000 - ₱1,000,000 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...

  • Inpatient Coding Quality Auditor

    5 days ago

    Taguig, National Capital Region, Philippines Conifer Health Solutions Full time

    OverviewInpatient 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...

  • Quality Auditor- Coding

    2 days ago

    Taguig, National Capital Region, Philippines MyGlit Full time $40,000 - $60,000 per year

    Job Description: Work set up: Onsite Opportunity – MCK Taguig, Cyber Sigma Building Work schedule: Day 9 am to 6 pm (Manila time) Qualifications : •Must have experience in Surgery, observation, and ED Facility specialty (Injection and infusion) •Exposure in CPT codes (1 to 6 series Codes) •Certification is mandatory •5+ years' experience...

  • Healthcare Coding Quality Specialist

    5 days ago

    Taguig, National Capital Region, Philippines beBeeAuditor Full time ₱800,000 - ₱1,200,000

    The role of Coding Quality Auditor involves conducting thorough audits to ensure accurate and compliant coding practices across various healthcare settings. This position requires a deep understanding of nationally recognized coding guidelines, standards, regulations, and regulatory requirements.Key responsibilities include auditing inpatient and outpatient...

  • Outpatient Medical Coder

    2 days ago

    Taguig, National Capital Region, Philippines KMC Solutions Full time $40,000 - $80,000 per year

    Job Overview:Day ShiftOn-site at Taguig1–3 years of experience in Outpatient Facility Coding, specifically with Injection and Infusion servicesThe main responsibilities of a OUTPATIENT MEDICAL CODER (CODER) include:Analyze medical records, physician notes, and other documentation to identify billable services and ensure accurate coding using appropriate...

  • Outpatient Medical Coder

    7 days ago

    Taguig, National Capital Region, Philippines KMC Solutions Full time

    Job Title and LocationJOB TITLE: OUTPATIENT MEDICAL CODERLOCATION: BGC, TAGUIGJob OverviewDay ShiftOnsite at Taguig1–3 years of experience in Outpatient Facility Coding, specifically with Injection and Infusion servicesResponsibilitiesAnalyze medical records, physician notes, and other documentation to identify billable services and ensure accurate coding...

  • Conifer - Outpatient Medical Coder

    2 days ago

    Taguig, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time $60,000 - $80,000 per year

    Job Description:The OP Coder is responsible for assigning diagnostic and procedural codes (outpatient surgery, observation, infusion services, and interventional procedure records) to patient 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...

  • Coding University for CIC

    2 days ago

    Taguig, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time $40,000 - $60,000 per year

    Conifer Global Business Center Inc. is 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...