PB QA Coder Auditor
Posted
Summary
A certified medical coder (CPC/CCS) with an active PHRN license audits professional-billing outpatient coding across specialties like surgery, oncology, and emergency for accuracy, citing ICD-10-CM/PCS official guidelines and AHIMA standards. On-site role in Quezon City.
Qualification:
- Active CPC, COC, CCS, CCS-P
- Active PHRN License
- 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, OB
GYNE, Emergency - 1 year experience as Quality Auditor
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