Quality Auditor, Medical Coding

Gratitude Inc

276 Views

2 weeks ago

Quality Auditor, Medical Coding

4-6 Year(s)

Manila (Taguig)

Job Description

Key Skills

ICD‑10/CPT/HCPCS

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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.

Jane Wambui

Recruiter - Gratitude Inc

NA, kenya

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