PB Global QA Coder Auditor (QC) | Onsite
Posted Updated
Summary
Onsite medical coding quality auditor in Quezon City: conducts audits of inpatient medical coding across specialties to check accuracy and adherence to ICD-10-CM/PCS official guidelines and AHIMA standards, providing documented rationale for findings. Requires an active PHRN license, CPC/COC/CCS/CCS-P certification, and several years of coding and auditing experience.
Work Setup: Onsite (QC)
License: Active PHRN License
Certification: Active CPC, COC, CCS, CCS-P
Educational Attainment: Bachelor's 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