Outpatient Coding Quality Auditor

7 days ago


Taguig, National Capital Region, Philippines Conifer Health Solutions Full time ₱1,200,000 - ₱2,400,000 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


  • Taguig, National Capital Region, Philippines Conifer Health Solutions Full time ₱900,000 - ₱1,200,000 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...


  • Taguig, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time

    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...


  • Taguig, National Capital Region, Philippines Tenet Healthcare Full time ₱2,000,000 - ₱2,500,000 per year

    Benefits:HMO with FREE 2 dependentsGroup life insurance10% Annual Performance IncentiveAnnual Appraisal20 Paid Time Off (PTO) per yearWork ArrangementWFO work arrangement, BGC TaguigQualifications: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...


  • Taguig, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time ₱1,200,000 - ₱2,400,000 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...


  • Taguig, National Capital Region, Philippines Tenet Healthcare Full time ₱900,000 - ₱1,200,000 per year

    We 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...

  • Outpatient Coder

    1 week ago


    Taguig, National Capital Region, Philippines Shearwater Health Full time ₱900,000 - ₱1,200,000 per year

    Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersWork Set-up:Work OnsitePhysical Site:Taguig, Pampanga, or CebuAccount:HealthcareOur Clinicians & Associates advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependen...


  • Taguig, National Capital Region, Philippines HRTX Full time ₱350,000 - ₱550,000 per year

    Education & CertificationBachelor's degree in a related field (preferred but not always required).Active certification in any of the following: CPC, COC, CCS (mandatory).ExperienceMinimum of 1 year experience in Outpatient Medical Coding in a clinical, BPO, or CPO set-up.At least 3–5 years of hands-on professional coding and outpatient facility coding...

  • Medical Coder

    1 day ago


    Taguig, National Capital Region, Philippines Spanex Technologies Full time ₱30,000 - ₱60,000 per year

    URGENTLY HIRINGQUALITY AUDITORQualifications:* outpatient facility coding with certification* Must be willing to work onsite in TaguigQUALITY AUDITORQualifications:* Surgery coding with PHRN with certification* Must be willing to work onsite in TaguigMEDICAL CODERQualifications:* PHRN or USRN license holder* AHIMA or AAPC coding certification required* Must...


  • Taguig, National Capital Region, Philippines Conifer Health Solutions Full time ₱1,200,000 - ₱2,400,000 per year

    POSITION SUMMARYAs a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps...


  • Taguig, National Capital Region, Philippines RELIANCECARE INC. Full time ₱30,000 - ₱60,000 per year

    Job Objective:We're looking for a dedicated and compassionate Outpatient Nurse to provide quality care to patients in a clinic setting. You'll assist doctors during consultations, monitor vital signs, administer medications or vaccines, and help make every patient's visit smooth and comfortable.Key Responsibilities:Take and record patients' vital signsAssist...