medical coding Quality Auditor - ed facility/inpatientKMC MAG Solutions Inc

Job Description
Make your next big career move by applying as KMC Solutions nextMedical Coding Quality Auditor - ED Facility/Inpatient
Office is at Robinsons Cyber Sigma, McKinley West Taguig
Work schedule is 8am to 5pm
HMO upon hire plus dependent
The main responsibilities of aMedical Coding Quality Auditor - ED Facility/Inpatient include:
Perform a variety of medical coding- related activities including seamless assignment of codes and assessing accurate assignment of codes to diagnosis and procedures, which includes CPT, ICD-10, PCS, HCPCS, Modifiers, POA, & abstracting based on the medical records and query the physicians as required per defined protocols.
Understand and ensure adherence to the client specifications, coding clinics, coding guidelines, HIPPA and GRIC requirements.
Meet Audit Production & Error Identification rates specified for the project.
Perform different levels of audits or review processes and capture the feedback and references in the assigned tools for tracking and feedback purposes.
Review and provide appropriate responses and educational guidance on rebuttals.
Participate and support leaders to drive Quality Improvement Initiatives.
Support Knowledge Assessment Survey and Quality Tips.
Focus on updating coding skills, knowledge and improve quality by actively participating and supporting relevant meetings and educational sessions
To apply, you must be an expert on the following requirements:
Bachelor's Degree in Life Science, Nursing, Pharmacy, Physiotherapy, or Paramedical / Healthcare stream of discipline.
Minimum2 years of experiencein respective specialty coding-Inpatient DRG Coding/ Emergency Department Coding (Facility / Hospital Billing).
Valid coding certifications like CPC, CCS from AHIMA or AAPC is preferred.
Should possess strong subject knowledge specific to Emergency Department (E/M, CPT, Injections and Infusions & ICD-10)/ or Inpatient DRG (MS-DRG/ APR DRG with ICD-10 & PCS) Coding for Hospital or Facility billing setup.
Excellent skills on the required Process/ Speciality Coding
Quick learner of related processes and new billing systems navigation.
Good communications and Interpersonal skills.
Ability handle process disputes/ conflicts in matured manner.
A successful candidate should be prepared to submit and complete the following as part of onboarding requirements.
Scanned copy of valid NBI Clearance
Accomplished Medical or PEME Slip
2x2 & Half body picture with white background
Proof of government numbers (TIN, SSS, Pag-ibig, & Philhealth).
Photocopy of 2 valid IDs front & back (government-issued)
Clear copy of your Birth Certificate (PSA or NSO)
Accomplished HR Forms & Promissory Note (will be provided by KMC's Onboarding Team)