Medical Coding Auditor – PRC Licensed (Fresh Grads)

Optum Philippines; Makati; Sur place; PHP 350 000 - 550 000; Plein temps

Résumé du poste

Optum Philippines is seeking an entry-level Medical Coding Auditor to join our team in Makati. The role focuses on auditing documentation for health care procedures and equipment, translating diagnoses into standard codes, and ensuring compliance with coding guidelines and reimbursement policies.

Prospective candidates should hold an active PRC license in Medical Allied fields, with fresh graduates welcome and limited prior experience considered. Shift: 7:30 AM–4:30 PM, Tue–Sat.

Qualifications

• Active PRC license required for Medical Allied fields (including psychology and nursing/diagnostic).
• Fresh graduates are welcome if they possess an active PRC license.
• Limited work experience is acceptable for this entry-level role.

Responsabilités

• Audit and ensure correct documentation of health care procedures, medical equipment, and services provided to members.
• Translate medical/clinical diagnoses into designated numerical codes.
• Adhere to coding guidelines, reimbursement policies, and company policies.

Formation

PRC licensed Medical Allied graduate

Description du poste

Optum Philippines is seeking an entry-level Medical Coding Auditor to join our team in Makati. The role focuses on auditing documentation for health care procedures and equipment, translating diagnoses into standard codes, and ensuring compliance with coding guidelines and reimbursement policies.

Prospective candidates should hold an active PRC license in Medical Allied fields, with fresh graduates welcome and limited prior experience considered. Shift: 7:30 AM–4:30 PM, Tue–Sat.