Charge Audit - Nurse Coder

HRTX; Philippines; On-site; PHP 600,000 - 900,000; Full time

Job summary

HRTX in the Philippines is seeking a Charge Audit - Nurse Coder to analyze medical records and apply CPT/ICD/HCPCS codes with precision. You will review physician documentation, assign procedure charges, and resolve coding discrepancies while adhering to HIPAA and GRIC requirements.

The role is onsite in Taguig and requires extensive outpatient facility coding experience. Ideal candidates have 12+ years of outpatient coding experience, AHIMA or AAPC credentials are a strong advantage, and

Qualifications

• Bachelor's degree required.
• AHIMA or AAPC coding certification is a strong advantage.
• Preferably with 12 years of experience in Outpatient Facility Coding, specifically with Injection and Infusion services.
• Prior experience working with Electronic Health Records (EHR), particularly EPIC.
• Must be willing to work onsite in Taguig.

Responsibilities

• Analyze medical records, physician notes, and other documentation to identify billable services and ensure accurate coding using appropriate (CPT, ICD, and HCPCS) codes.
• Review physician documentation and assign correct procedure charges, including CPT codes and applicable modifiers.
• Identify and resolve discrepancies, missing charges, and other errors in the charge entry process.
• Ensure compliance with client specifications, coding guidelines, Coding Clinics, HIPAA, and GRIC requirements.
• Consistently meet daily productivity targets and incorporate feedback provided by the quality assurance team.
• Stay current with coding updates and maintain service level agreements (SLAs) by actively participating in feedback sessions and ongoing education.

Job description

About the job Charge Audit - Nurse Coder

Qualifications:

• Bachelors degree required.
• AHIMA or AAPC coding certification is a strong advantage.
• Preferably with 12 years of experience in Outpatient Facility Coding, specifically with Injection and Infusion services.
• Prior experience working with Electronic Health Records (EHR), particularly EPIC.
• Must be willing to work onsite in Taguig.

Key Responsibilities:

• Analyze medical records, physician notes, and other documentation to identify billable services and ensure accurate coding using appropriate (CPT, ICD, and HCPCS) codes.
• Review physician documentation and assign correct procedure charges, including CPT codes and applicable modifiers.
• Identify and resolve discrepancies, missing charges, and other errors in the charge entry process.
• Ensure compliance with client specifications, coding guidelines, Coding Clinics, HIPAA, and GRIC requirements.
• Consistently meet daily productivity targets and incorporate feedback provided by the quality assurance team.
• Stay current with coding updates and maintain service level agreements (SLAs) by actively participating in feedback sessions and ongoing education.