Quality Analyst - Medical Coder

Gratitude Inc

869 Views

3 months ago

Quality Analyst - Medical Coder

3-5 Year(s)

60 - 65 Thousand p.m

Manila (Taguig)

Job Description

Key Skills

Outpatient coding

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Education and Certification:
● Must be a graduate in any Life sciences- Physiotherapy, Pharmacy, Nursing, Biosciences with Anatomy/physiology as a subject..
● Certified Professional Coder (CPC) credentialed from the American Academy of Professional
● Coders (AAPC) obtained before hire or job transfer. All specialties accepted.
● Certified Coding Specialist (CCS) credentialed from the American Health Information
Management Association (AHIMA) obtained before hire or job transfer.
● Preferred RHIA/RHIT as additional certification.

Requirements:
● Experience in E&M Specialty Coding- Outpatient, Inpatient, observation, Critical care
facilities using ICD, Modifiers, CPT, HCPCS codes.
● Must have a minimum of 3+ years of experience in E&M inpatient and/or outpatient medical
record review, coding and reimbursement. Coding audit experience preferred.
● Must have strong knowledge of ICD-10-CM/PCS and CPT coding and prospective payment
systems and proficiency with Microsoft Windows operating systems and Office applications,
such as Word, Excel, and PowerPoint
● Able to work well with minimal supervision.
● Able to communicate clearly both written and verbally.
● Able to generate reports for management review that clearly present audit results.
● Able to meet deadlines and respond well to frequent changes in regulation.
● Able to maintain positive and productive relationships with internal and external teams and
customers.
● Able to work independently and be a self-starter.
● Willing to work on-site in Taguig
● Must be amenable to attend for an onsite assessment

Responsibilities:
 Performs audits on the accuracy of ICD-10, CPT-4, HCPCS and Modifier assignments.
 Reviews claims denied/rejected for coding, documentation and clinical validation.
 Prepares reports for management review and identifies trends.
 Conducts focused retrospective audits and regular scheduled audits of individual coders.
 Manages all audits conducted by internal and external entities and responds to requests for code verification.
 In conjunction with the Coding Supervisors and Coding Manager, contributes to the
development of educational and training opportunities for staff.

Role

Clinical Coding Analyst

Timings

Flexible (Permanent)

Industry

BPO

Work Mode

Work from office

Process

Voice

Functional Area

ITES / BPO / Customer Service

Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.

Yahaya Muktar

Recruiter - Gratitude Inc

NA, nigeria

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