PB Global QA Coder Auditor

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profile Job Location:

Quezon City - Philippines

profile Monthly Salary: Not Disclosed
Posted on: 30+ days ago
Vacancies: 1 Vacancy

Job Summary

Work Setup: Onsite (QC)

License: Active PHRN License

Certification: Active CPC COC CCS CCS-P

Educational Attainment: Bachelors degree in nursing or a related field (medical allied courses). Advanced degrees or certifications may be preferred.

Responsibilities:

  • Conduct audits in various medical coding specialties in inpatient settings to assess coding accuracy and ensure adherence to official coding guidelines.
  • Provide detailed rationale and supporting references for recommendations and findings.
  • Utilize industry-recognized references to support review findings such as the ICD-10-CM Official Guidelines for Coding and Reporting ICD-10-PCS Official Guidelines for Coding and Reporting AHIMA Standards of Ethical Coding AHIMA Practice

Requirements:

  • 5 years experience in outpatient coding with exposure to multiple specialties
  • 1 year experience in each specialty with a minimum of 2 specialties Same Day Surgery Observation Interventional Radiology Oncology Transplant OBGYNE Emergency
  • 1 year experience as Quality Auditor
Work Setup: Onsite (QC) License: Active PHRN License Certification: Active CPC COC CCS CCS-P Educational Attainment: Bachelors degree in nursing or a related field (medical allied courses). Advanced degrees or certifications may be preferred. Responsibilities: Conduct audits in various medical codin...
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Key Skills

  • Auditing
  • Time Management
  • ICD-10
  • Accounting
  • Component evaluation
  • Workers' Compensation Law
  • SOX
  • Microsoft Excel
  • CPT Coding
  • Internal Audits
  • Medicare
  • Bookkeeping