Medical Coding Auditor — Compliance & Quality

Coronis Health Philippines; Philippines; Presencial; PHP 320.000 - 520.000; Jornada completa

Descripción de la vacante

Coronis Health Philippines is seeking a Medical Coding Auditor responsible for auditing medical records coded by coders and communicating findings to improve accuracy. The role ensures compliance with coding guidance, facility guidelines, and confidentiality standards.

The auditor will prepare reports, educate coders on errors, and stay current with ICD-10 guidelines and CMS directives to support quality and compliance. Reports line to Operations and Quality and requires teamwork and discretion.

Formación

• College diploma or equivalent.
• Preferred CCS/CPC/CCS-P/CIC/COC/CCA or equivalent coder certification.
• At least 2 years coding experience within the organization with excellent annual evaluation.

Responsabilidades

• Audits medical records that are coded to identify possible undercoded and/or upcoded services.
• Prepares reports of the findings and educates coders on errors in line with coding practices and compliance issues.
• Maintains confidentiality of information and adheres to HIPAA policies.
• Keeps updated with Official Coding Guidelines and CMS directives for ICD-10 coding to provide accurate audit feedback.
• Attends coding education sessions to receive updated coding information and changes in regulations.

Conocimientos

Auditing

Medical coding

HIPAA compliance

Communication

Educación

College diploma or equivalent

Herramientas

CPT

Descripción del empleo

Coronis Health Philippines is seeking a Medical Coding Auditor responsible for auditing medical records coded by coders and communicating findings to improve accuracy. The role ensures compliance with coding guidance, facility guidelines, and confidentiality standards.

The auditor will prepare reports, educate coders on errors, and stay current with ICD-10 guidelines and CMS directives to support quality and compliance. Reports line to Operations and Quality and requires teamwork and discretion.