Quality Auditor- Coding

4 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 in Coding


•1+ years as Quality or Good knowledge in Quality.

RESPONSIBILITIES


• Handle the day-to-day audits of the coding based on audit sample coverage


•Ensure 95% quality on production and maintain good collaboration with team members & leaders


•Adherence to the company's Coding Compliance policy/plan on internal and external

audits(clients)


• To improve the coder's performance, identify issues and recommending areas needed for

improvement to enhance the quality


• Having EPIC software knowledge would be an added advantage

JOB DESCRIPTION:

ED Charge audit QA:


• Strong knowledge on the ED procedures, CMS guidelines, E/M level assignment and I&I

coding (IV push, chemo, and non-chemo infusion & hydration)


•Possess good knowledge in modifiers, surgical & medication supply charges in Rev codes 260, 450, 456,

459.


• Must know to validate the calculate ED timeline

OBS Charge audit QA:


•Strong knowledge on the ED, Observation, general surgical procedures, bedside procedures, and I&I

coding (IV push, chemo, and non-chemo infusion & hydration)


• Possess good knowledge in modifiers, surgical supply charges and resolving NCCI edits


• Should know to work with validating Revenue codes 760 (Treatment/Observation Room), 0762

(Observation Room), and sometimes 0761 and 0769 for specific treatment rooms.


• Familiar with carve out procedure time, usage of HCPCS codes (G0378, G0379) and medical necessity

SDS Charge audit QA


• Strong knowledge on surgical procedures (CPT 1-6 series) especially on the implants (cardiac,

musculoskeletal, obstetric, neuro, hearing), Endoscopies and L& D (Vaginal delivery, C-section)


• Familiar with charge audit process pertinent to Revenue codes for implants, surgical supplies (HCPCS

codes), medication and recovery room charges (Revenue code 710)


• Strong knowledge needed in I&I (IV push, infusion, hydration), modifiers and resolving NCCI edits


• Good domain on Cath lab procedures


• Possess good knowledge in Reporting of Extended Recovery and Bedded Outpatient Services such as s

blood transfusion, lumbar puncture, Incision & Drainage, injectable drug administration

Role: Quality Auditor- Coding

Number of Openings: 1

Skills:

  • CPT Codes
  • Coding
  • Surgery

Industries:

  • Computer Software
  • Hospital & Health Care
  • Information Technology & Services

Job Function: Healthcare Administration

Experience: 0 To 3 Years

Locations:

  • Taguig, Metro Manila, Philippines

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