PB Global QA Coder Auditor

Work Setup: Onsite (Cebu)

REQUIREMENTS:

• Bachelor's degree in nursing or a related field (medical allied courses). Advanced degrees or certifications may be preferred.
• Active PHRN License
• Active CPC, COC, CCS, CCS-P
• 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

JOB HIGHLIGHTS:

• 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