PB QA Coder Auditor

HRTX; Quezon City; On-site; PHP 800,000 - 1,200,000; Full time

Job summary

A growing company in Metro Manila is seeking a Quality Auditor specializing in medical coding. The role requires extensive experience in outpatient coding across various specialties and a commitment to coding accuracy and guideline adherence. This position offers the opportunity to influence quality processes in a dynamic healthcare environment.

Qualifications

• 5 years experience in outpatient coding with exposure to multiple specialties.
• 1 year experience in each specialty with a minimum of 2 specialties.
• 1 year experience as Quality Auditor.

Responsibilities

• Conduct audits to assess coding accuracy and adherence to guidelines.
• Provide detailed rationale and references for recommendations.
• Utilize industry-standard references for review findings.

Skills

Auditing

Coding accuracy

Attention to detail

Education

Active CPC

Active COC

Active CCS

Active CCS-P

Active PHRN License

Job description

Qualification:

• Active CPC, COC, CCS, CCS-P
• Active PHRN License
• 5 years experience in outpatient coding with exposure to multiple specialties
• 1 year experience in each specialty with a minimum of 2 specialties Same
  Day Surgery, Observation, Interventional Radiology, Oncology, Transplant, OB
  GYNE, Emergency
• 1 year experience as Quality Auditor

Responsibilities:

• Conduct audits in various medical coding specialties in inpatient settings to assess
  coding accuracy and ensure adherence to official coding guidelines.
• Provide detailed rationale and supporting references for recommendations and
  findings.
• Utilize industry-recognized references to support review findings, such as the ICD-
  10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS Official Guidelines
  for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice