HB Global QA Coder Auditor (QC) | Onsite
Posted Updated
Summary
An onsite Quality Auditor for inpatient medical coding in Quezon City: supervises the coding team, reviews and audits coded medical records for accuracy and compliance with coding guidelines and payer rules, and resolves complex coding issues (DRG, ICD-10-CM/PCS, CPT, modifiers). Requires an active PHRN license plus CCS and CIC certifications.
Work Setup: Onsite (QC)
License: Active PHRN License
Certification: Active CCS, CIC
Educational Attainment: Bachelor's degree in nursing or a related field (medical allied courses). Advanced degrees or certifications may be preferred.
Responsibilities:
- Supervise and coordinate the daily activities of the medical coding team to ensure timely and accurate coding of medical records.
- Review and audit coded data for accuracy, completeness, and compliance with official coding guidelines and payer requirements.
- Provide expert guidance on complex coding issues, including DRG change resolution, ICD-10-CM, ICD-10-PCS, CPT coding, and modifier usage.
Requirements:
- 5 years experience in Inpatient coding with exposure to multiple specialties
- 1 year experience in transplant cases
- 1 year experience as Quality Auditor