Charge Audit (Nurse Coder)

Gratitude Inc

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3 months ago

Charge Audit (Nurse Coder)

1-2 Year(s)

Manila (Taguig)

Job Description

Key Skills

Analysis Documentation coding HIPAA SLA Requirements BPO industry CPT Codes BSN compliance skills EPIC, MCG, or InterQual AHIMA or AAPC coding Outpatient Facility Coding EHR

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Work set up: Onsite Opportunity – MCK Taguig, Cyber Sigma Building

Work schedule: Day shift

Salary: Open Salary

Responsibilities :

•Analyze medical records, physician notes, and other documentation to identify billable services and ensure accurate coding using appropriate (CPT, ICD, and HCPCS) codes.

•Review physician documentation and assign correct procedure charges, including CPT codes and applicable modifiers.

•Identify and resolve discrepancies, missing charges, and other errors in the charge entry process.

•Ensure compliance with client specifications, coding guidelines, Coding Clinics, HIPAA, and GRIC requirements.

•Consistently meet daily productivity targets and incorporate feedback provided by the quality assurance team.

•Stay current with coding updates and maintain service level agreements (SLAs) by actively participating in feedback sessions and ongoing education.

Qualifications :

•BSN/PHRN(Required)

•AHIMA or AAPC coding certification is a strong advantage.

•Preferably with 1–2 years of experience in Outpatient Facility Coding, specifically with Injection and Infusion services.

•Prior experience working with Electronic Health Records (EHR), particularly EPIC.

•Minimum of 2 years BPO experience is required (candidates without BPO experience will be automatically rejected).

•Must be willing to work onsite in Taguig.

Role

Infrastructure & Technology Manager

Timings

Day Shift (Permanent)

Industry

BPO

Work Mode

Work from office

Process

Voice

Functional Area

ITES / BPO / Customer Service

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