Medical Claims & Coding Specialist

QBE Group Shared Services Centre; Taguig; On-site; PHP 420,000 - 640,000; Full time

Job summary

QBE Group Shared Services Centre in the Philippines seeks an experienced Medical/Injury Coding professional. You will review medical reports and hospital records to identify diagnoses and injuries and assign standardized codes in line with AIS or equivalent frameworks.

You will complete coding within SLA and regulatory timeframes, liaise with internal and external networks, and stay current with Motor Accident Authority guidelines. Strong English communication is required.

Qualifications

• Review and interpret medical reports, certificates, hospital records and clinical documentation to identify relevant diagnoses and injuries.
• Accurately assign standardized medical or injury codes (AIS or equivalent framework) in line with regulatory and internal guidelines.
• Complete initial, review and final coding within prescribed service level agreements and regulatory timeframes.
• Participate in meetings to share and develop strategy, knowledge and best practice.
• Ensure current knowledge and adherence to Motor Accident Authority legislation, government and Company guidelines.
• Liaise with internal and external network to obtain relevant information.
• Accumulate data to identify the type and severity of injuries sustained in motor vehicle accidents.

Responsibilities

• Review and interpret medical reports, certificates, hospital records, and clinical documentation to identify relevant diagnoses and injuries.
• Accurately assign standardized medical or injury codes (AIS or equivalent framework) in line with regulatory and internal guidelines.
• Complete initial, review and final coding within prescribed service level agreements and regulatory timeframes.
• Participate in all relevant meetings to share and develop strategy, knowledge and best practice.
• Ensure current knowledge and adherence to relevant Motor Accident Authority legislation, government and Company guidelines.
• Liaise with internal and external network to obtain relevant information.
• Accumulate data to identify the type and severity of injuries sustained in motor vehicle accidents.

Skills

Medical coding

AIS coding

Injury classification

Claims processing

Regulatory knowledge

English communication

Education

Graduates of medical allied courses (Nursing, Physical Therapy)

Job description

QBE Group Shared Services Centre in the Philippines seeks an experienced Medical/Injury Coding professional. You will review medical reports and hospital records to identify diagnoses and injuries and assign standardized codes in line with AIS or equivalent frameworks.

You will complete coding within SLA and regulatory timeframes, liaise with internal and external networks, and stay current with Motor Accident Authority guidelines. Strong English communication is required.