Quality Auditor, Medical Coding
Gratitude IncQuality Auditor, Medical Coding
Job Description
Key Skills
0 candidate(s) have already applied for this Job. Apply now
Job Responsibilities
Perform 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 procedures
Injection & Infusion (I&I) coding, including:
IV push
Chemotherapy
Non-chemotherapy infusion
Hydration
Proficiency in:
Use of modifiers
Surgical supply charges
Resolving NCCI edits
Experience validating Revenue Codes:
0760 – Treatment/Observation Room
0762 – Observation Room
0761 and 0769 – Specific treatment rooms (as applicable)
Familiarity with:
Carve-out procedure times
HCPCS codes (e.g., G0378, G0379)
Medical necessity requirements
Role
Any Other
Timings
Flexible (Permanent)
Industry
BPO
Work Mode
Work from office
Functional Area
Any Other
Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.
Interview Tips
- Giving the VNA round?
- What are the most important skills you acquired as a Soft Skills/VNA trainer?
- How would you handle an irate customer?
Get the Best Jobs
on your Fingertips
Similar Jobs
Spanish Bilingual CSR -WNS Company
Gratitude Inc2 - 17 Year(s)
95 - 100 Thousand p.m
Manila, Philippines
Insurance Account
Gratitude Inc1 - 2 Year(s)
Confidential
Manila, Philippines
CSR Collections Account -TCS Taguig
Gratitude Inc1 - 23 Year(s)
30 - 35 Thousand p.m
Manila, Philippines
SAP HANA DB Administration
Gratitude Inc0 - 4 Year(s)
Confidential
Manila, Philippines
Lead SharePoint Architect
Gratitude Inc4 - 10 Year(s)
130 - 140 Thousand p.m
Manila, Philippines
PATIENT CARE COORDINATOR (HEALTHCARE)
Gratitude Inc1 - 9 Year(s)
15 - 30 Thousand p.m
Manila, Philippines
CSR Collections Account -TCS Taguig
Gratitude Inc1 - 23 Year(s)
30 - 35 Thousand p.m
Manila, Philippines
SPANISH BILINGUALS
Gratitude Inc2 - 3 Year(s)
95 - 100 Thousand p.m
Manila, Philippines
Customer Service Representative
Gratitude Inc0 - 3 Year(s)
Confidential
Manila, Philippines
SAP FICO Techno-Functional Consultant, Senior
Gratitude Inc5 - 10 Year(s)
100 - 130 Thousand p.m
Manila, Philippines