Revenue Integrity Auditor: Coding & Denials

Health Business Solutions LLC; Manila; On-site; PHP 2,457,002 - 3,685,503; Full time

Job summary

Health Business Solutions LLC is actively seeking a Coding and Denial Auditor in Manila. This role involves auditing hospital claims, identifying coding issues, and reviewing denial situations. Candidates should have 2 or more years of hospital coding or denial auditing experience, with certifications like CCS or CPC preferred.

Experience in clinical settings can enhance your candidacy. Join our team to support revenue integrity initiatives and drive denial prevention efforts!

Qualifications

• 2+ years of hospital coding or denial auditing experience required.
• Revenue cycle expertise and knowledge of CMS and commercial payers necessary.
• Clinical experience preferred for supporting medical necessity.

Responsibilities

• Audit hospital inpatient and outpatient coding.
• Review claim denials and underpayments.
• Identify coding and documentation issues.
• Support revenue integrity and denial reduction efforts.
• Provide feedback and education to coding teams.

Skills

Hospital coding experience

Denial auditing experience

Knowledge of ICD-10-CM/PCS

Payer guideline knowledge

Clinical background

Education

Active credential: CCS, CPC, CIC, or CCS-P

Job description

Health Business Solutions LLC is actively seeking a Coding and Denial Auditor in Manila. This role involves auditing hospital claims, identifying coding issues, and reviewing denial situations. Candidates should have 2 or more years of hospital coding or denial auditing experience, with certifications like CCS or CPC preferred.

Experience in clinical settings can enhance your candidacy. Join our team to support revenue integrity initiatives and drive denial prevention efforts!