Quality Auditor, Medical Coding
Gratitude Inc Manila Full-time
Quality Auditor, Medical Coding
Job ResponsibilitiesPerform daily coding audits based on assigned audit sample coverage
Maintain at least 95% quality accuracy while collaborating effectively with team members and leaders
Ensure compliance with the company’s Coding Compliance Policy for both internal and external (client) audits
Identify coder performance gaps and recommend improvements to enhance overall coding quality
Utilize and demonstrate working knowledge of the EPIC system
Educational Requirements
Must hold certification from AHIMA or AAPC
Registered Nurse (RN) is preferred but not required
At minimum, candidates must be college graduates
Experience Requirements
At least 4 years of medical coding experience
Prior BPO experience in medical coding is required
Strong working knowledge of: Emergency Department (ED) and Observation coding
General surgical and bedside proceduresInjection & Infusion (I&I) coding, including: IV push
ChemotherapyNon-chemotherapy infusion
Hydration
Proficiency in: Use of modifiers
Surgical supply chargesResolving NCCI edits
Experience validating Revenue Codes: 0760 – Treatment/Observation Room
0762 – Observation Room0761 and 0769 – Specific treatment rooms (as applicable)
Familiarity with: Carve-out procedure times
HCPCS codes (e.g., G0378, G0379)Medical necessity requirements
Gratitude IncManila
Spanish Quality Auditor - RCM
We are seeking a detail-oriented and bilingual (Spanish-English) Quality Auditor to join our healthcare support team. The Quality Auditor will be responsible for evaluating and ensuring the quality of service...
Makati, 6 km from Manila
thinking/problem solving skills
• Self-motivated, quality-conscious and with good leadership capabilities
• Has the ability to adapt quickly to varied assignments and rapidly changing audit conditions
Work location
CITY OF MAKATI, NCR, FOURTH DISTRICT...
Microgenesis Business SystemsMandaluyong, 6 km from Manila
An Internal Auditor plays a crucial role in evaluating and improving the effectiveness of our financial, Quality Management System (QMS), and Information Security Management System (ISMS) processes. They ensure compliance with regulatory...