Quality Auditor, Medical Coding
Gratitude IncQuality Auditor, Medical Coding
Job Description
Key Skills
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Job title: Quality Auditor, Medical Coding
Start Date: ASAP (Negotiable)
Work Setup: Onsite – MCK West, Taguig
Job Responsibilities: Kindly Send your CV at janegiathi69@gmail.com
1. Perform daily coding audits based on assigned audit sample coverage
2. Maintain at least 95% quality accuracy while collaborating effectively with team members and leaders
3. Ensure compliance with the company’s Coding Compliance Policy for both internal and external (client) audits
4. Identify coder performance gaps and recommend improvements to enhance overall coding quality
Utilize and demonstrate working knowledge of the EPIC system.
Educational Requirements:
1. Must hold certification from AHIMA or AAPC
2. Registered Nurse (RN) is preferred but not required
3. At minimum, candidates must be college graduates
Experience Requirements:
1. At least 4 years of medical coding experience
2. Prior BPO experience in medical coding is required
Strong working knowledge of:
1. Emergency Department (ED) and Observation coding
2. General surgical and bedside procedures
3. Injection & Infusion (I&I) coding, including:
4. IV push
5. Chemotherapy
6. Non-chemotherapy infusion
7. Hydration
Proficiency in:
Use of modifiers
Surgical supply charges
Resolving NCCI edits
Experience validating Revenue Codes:
0760 – Treatment/Observation Room
0762 – Observation Room
0761 and 0769 – Specific treatment rooms (as applicable)
Familiarity with:
Carve-out procedure times
HCPCS codes (e.g., G0378, G0379)
Medical necessity requirements
Role
Any Other
Timings
Rotational Shifts (Permanent)
Industry
Medical / Healthcare / Hospital
Work Mode
Work from office
Functional Area
Any Other
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.
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