Profee Coder

PM Consulting; Metro Manila; Vor Ort; PHP 446.000 - 781.000; Vollzeit

Benefits dieser Stelle

Competitive salary package

Night shift differential

HMO and health benefits

Career growth and upskilling

Stable and global work environment

Zusammenfassung

PM Consulting is seeking a detail-oriented Outpatient QA Coder to join our team in the Philippines. You will review clinical documentation and assign accurate ICD-10-CM, ICD-10-PCS, and DRG codes for inpatient encounters, while ensuring compliance with AHIMA/AAPC standards.

You will interpret physician notes and lab results, query physicians when needed, stay updated with coding changes, and collaborate with QA and audit teams to drive quality improvements.

Qualifikationen

• Active certification (CPC/CCS/CIC/CCS-P).
• 1–3 years OP QA coding experience in acute care.
• Strong knowledge of ICD-10-CM/ICD-10-PCS and DRG assignment.
• Medical terminology, anatomy and physiology.
• Experience with EMR/EHR systems and encoder tools.

Aufgaben

• Review inpatient medical records to assign ICD-10-CM/ICD-10-PCS and DRG codes.
• Ensure coding accuracy, completeness and regulatory compliance.
• Interpret physician notes, lab results, and discharge summaries.
• Query physicians when documentation is unclear.
• Meet productivity and quality benchmarks.
• Stay updated with coding changes and payer guidelines.
• Collaborate with QA and audit teams for improvements.

Kenntnisse

OP QA coding

ICD-10-CM coding

ICD-10-PCS coding

DRG assignment

Medical terminology

Anatomy & physiology

Ausbildung

CPC, CCS, CIC, CCS-P certification

Tools

EMR/EHR systems

encoder tools

Jobbeschreibung

We are looking for a detail-oriented and certified Outpatient QACoder to join our team. In this role, you will be responsible for reviewing clinical documentation and assigning accurate codes for inpatient encounters in compliance with coding guidelines and regulatory requirements.

Key Responsibilities

• Review and analyze inpatient medical records to assign accurate ICD-10-CM, ICD-10-PCS, and DRG codes

• Ensure coding accuracy, completeness, and compliance with AHIMA/AAPC standards

• Interpret clinical documentation including physician notes, lab results, and discharge summaries

• Query physicians when documentation is insufficient or unclear

• Meet productivity and quality benchmarks

• Stay updated with coding changes, payer guidelines, and compliance requirements

• Collaborate with QA and audit teams for continuous improvement

Qualifications

• Active certification (any of the following):

  • CPC, CCS, CIC, or CCS-P

• Minimum 1-3 years of OP QAcoding experience (acute care setting preferred)

• Strong knowledge of:

  • ICD-10-CM / ICD-10-PCS coding

  • DRG assignment

  • Medical terminology, anatomy, and physiology

• Experience with EMR/EHR systems and encoder tools

• Good analytical and problem-solving skills

• Strong attention to detail and accuracy

Preferred Qualifications

• Experience in US healthcare / revenue cycle management

• Exposure to auditing or quality assurance processes

• Familiarity with payer-specific guidelines

What We Offer

• Competitive salary package

• Night shift differential

• HMO and other health benefits

• Career growth and upskilling opportunities

• Stable and global work environment