Outpatient Coding Quality Auditor
4 hours ago
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 recognised 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:
- Understands, interprets and applies coding guidelines for coding quality audits. Audits inpatient, and profee encounters with complex code assignments.
- Minimum of 5+ years of medical coding experience is required for this position.
- Review of complex medical records to determine coding accuracy of all documented diagnoses and procedures.
- 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:
- Competitive Salary
- HMO with FREE dependents
- Group life insurance
- PTO Credits
- Annual Appraisal
- Annual Performance Bonus
- 50K SIGN-ON BONUS
-
Inpatient Coding Quality Auditor
4 hours ago
Bonifacio Global, Metro Manila, Philippines Tenet Global Business Center, Inc. Full time ₱900,000 - ₱1,200,000 per yearJob 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...
-
Outpatient Medical Coder
1 day ago
, Metro Manila, Philippines Buscojobs Full timeOutpatient Medical Coder - Valenzuela Posted today Job Viewed Tap Again To Close Job Description Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-Metrix Experience...
-
Outpatient Medical coder
4 days ago
Manila, National Capital Region, Philippines T3Cogno Full time ₱900,000 - ₱1,200,000 per yearJob Summary:This is Work from OfficeRegistered nurse should applyWe are seeking a detail-oriented and experiencedOutpatient Medical Coder (OP Coder)to accurately review and assign ICD-10-CM, CPT, and HCPCS codes for outpatient medical records. The ideal candidate will ensure coding compliance with federal regulations and payer-specific guidelines to optimize...
-
Outpatient SDS Medical Coders
4 days ago
Manila, National Capital Region, Philippines Shearwater Health Full time $60,000 - $80,000 per yearAbout the roleWe are seeking Certified Outpatient Coder (CCS/CIC/CPC) to join the Shearwater Health team. This is a full-time, remote role, offering a competitive salary and excellent benefits.As a Certified Outpatient Coder, you will play a vital role in ensuring accurate and compliant medical coding for our healthcare clients.What you'll be doingAccurately...
-
Outpatient Medical Coder
4 days ago
Manila, National Capital Region, Philippines R1 RCM Full time ₱900,000 - ₱1,200,000 per yearLOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES.RewardingSign-On BonusAwaits YouJob DescriptionWe are looking to hire experienced Outpatient Medical Coder.Requirements:BS Nursing GraduateAn active PHRN LicenseAn active Medical Coding Certification (CPC, COC, CCS and/or CCS-P)At least 2+ years of OP (SDS and/or ED – E/M) coding experienceA...
-
Coding Auditor
6 days ago
Manila, Philippines Health Business Solutions LLC Full timeHealth Business Solutions (HBIZ), founded in 2002, is a high-impact, transitional outsourcing firm that provides near-term relief to overturn denied claims and accelerate cash while concurrently working with providers and health systems to address Revenue Cycle under-performance. The Coding Auditor will perform detailed reviews of medical documentation and...
-
Quality Auditor
2 weeks ago
, Metro Manila, Philippines Allegro MicroSystems Full timeJoin to apply for the Quality Auditor role at Allegro MicroSystems 1 day ago Be among the first 25 applicants Join to apply for the Quality Auditor role at Allegro MicroSystems Get AI-powered advice on this job and more exclusive features. The Allegro team is united by a clear purpose—advancing technologies that make the world safer, more efficient,...
-
Manila, National Capital Region, Philippines Shearwater Health Full time ₱900,000 - ₱1,200,000 per yearAbout the roleWe are seeking Certified Outpatient Coder (CCS/CIC/CPC) to join the Shearwater Health team. This is a full-time, remote role, offering a competitive salary and excellent benefits.As a Certified Outpatient Coder, you will play a vital role in ensuring accurate and compliant medical coding for our healthcare clients.What you'll be doingAccurately...
-
RA Coding Lead
4 hours ago
Bonifacio Global, Metro Manila, Philippines Shearwater Health Full time ₱900,000 - ₱1,200,000 per yearRequired:• Required Certification: PHRN, CPC/CRC• Minimum 3 years in RA Coding• At least 1 year in coding quality role is preferred• At least 2 years in the hospital setting• Course Graduated: BS in Nursing is preferredDesired:• Good communications skills and analytical skills• Strict focus on coding, education, and quality assurance• Strong...
-
Inpatient Auditor
24 hours ago
, Metro Manila, Philippines Buscojobs Full timeOverview The Inpatient Auditor ensures the accuracy, compliance, and integrity of inpatient coding through retrospective and prospective audits. This role supports revenue integrity, regulatory compliance, and quality outcomes. Responsibilities Conduct coding audits on inpatient records to assess accuracy, completeness, and compliance. Provide detailed...
