Inpatient Medical Coding Auditor w/ 90K SOB | WFH

Coronis Health Philippines; Philippines; On-site; PHP 420,000 - 660,000; Full time

Job summary

Coronis Health Philippines seeks a Medical Coding Auditor to maintain accurate audits of medical records coded by coders. You will communicate findings, ensure compliance with coding guidelines and confidentiality, and develop essential quality reports for the team.

The role requires at least two years of coding experience, a college diploma, and preferably current CCS/CPC/CCS-P/CIC/COC/CCA certification. You will work with the operations and quality teams to uphold standards.

Qualifications

• College diploma or equivalent.
• Preferably possess a current CCS/CPC/CCS-P/CIC/COC/CCA (or equivalent) medical coder certification.
• Must have at least two (2) years coding experience within the organization and excellent annual evaluation rating.

Responsibilities

• Audits medical records to identify undercoded or upcoded services.
• Prepares reports and communicates findings to coders for education and compliance.
• Maintain confidentiality and adhere to HIPAA policies in auditing.
• Stay updated with coding guidelines and CMS directives for ICD-10 coding.

Skills

Auditing

Medical coding

Compliance

HIPAA

Education

College diploma

Job description

We’ve curated an impactful strategy, combining expertise, innovation, and partnerships to help healthcare unravel the complexities of RCM. As a revenue cycle management company, we support clients in improving their processes to collect more and grow financially

About the Role

Medical Coding Auditor is responsible in maintaining accurate audit to medical records coded by the coders and communicate with them on the findings. Auditor must ensure compliance to coding guidance, facility specific instructions and confidentiality of information. Reviews and develop reports essential for quality and compliance standards. Medical coding auditor reports to Operations and Quality.

Responsibilities

• Audits medical records that are coded to identify possible undercoded and/or upcoded services.
• Prepares reports of the findings and meets with the respective coder to communicate clearly the errors and provide education in line with appropriate coding practices and compliance issues.
• secondary diagnosis procedures (CPT, HCPCS II) modifiers
• Ambulatory Payment Classification (APC)
• Stays current with Official Coding and reporting Guideline, CMS directives for ICD 10 coding and conducts intensive research for acceptable source of references in coding updates, disease process, procedure details etc., to provide accurate audit and feedback to coding staff.
• Keeping updated to facility specific guidelines and compliance to ensure accuracy in auditing.
• Attends necessary coding education sessions to receive updated coding information and changes in coding and/or regulations.
• Able to think independently and impartial judgment.
• Able to adapt on technologies use in coding and auditing.
• Maintains confidentiality of information.
• Adheres to all HIPAA privacy and security policies and practices. Reports violations and incidents they observe and cooperates in investigations as requested by management.
• Capable of doing coding to its minimum as needed in the production.
• Perform as a team player
• Adhere to the individual Coronis Health Coding Compliance Guideline Policy and Procedure memos as distributed.
• Attendance in accordance with company HR and department policies
• Other tasks/functions that may be assigned by the company as per business requirement; these may change from time to time to reflect the changing requirement of your position and our business

Qualifications

• College diploma or equivalent.
• Preferably possess a current CCS/CPC/CCS-P/CIC/COC/CCA (or equivalent) medical coder certification.
• Must have at least two (2) years coding experience within the organization and excellent annual evaluation rating.