Profee Medical Coding Auditor (up to 70k Sign On Bonus)

Pasig City, National Capital Region
Posted today
Logo Coronis Health
Company:
Coronis Health
Company Description:
Coronis Health, a leading revenue cycle management provider, helps healthcare organizations thrive through a data-driven, customized approach to optimizing RCM. By combining transparency, advanced automation and AI, our solutions seamlessly integrate with existing systems to boost efficiency without the need for new platforms. Backed by industry veterans, we offer expert guidance to navigate complex regulations and streamline processes. We are committed to delivering innovative, tailored RCM solutions that help healthcare providers maximize revenue, improve performance and focus on what matters most—patient care.
Contract Type:
Full Time
Experience Required:
2 years
Education Level:
Bachelor’s Degree
Number of vacancies:
10

Job Description

Job Summary:

Medical Coding Auditor is responsible in maintaining accurate audit to medical records coded by the coders and communicate with them on the findings. Auditor must ensure compliance to coding guidance, facility specific instructions and confidentiality of information. Reviews and develop reports essential for quality and compliance standards. Medical coding auditor reports to Operations and Quality.

Essential Functions:
-Audits medical records that are coded to identify possible undercoded and/or upcoded services.
-Prepares reports of the findings and meets with the respective coder to communicate clearly the errors and provide education in line with appropriate coding practices and compliance issues.
-Outpatient Specialty: principal diagnosis, secondary diagnosis, procedures (CPT, HCPCS II), modifiers, Ambulatory Payment Classification (APC)
-Stays current with Official Coding and reporting Guideline, CMS directives for ICD 10 coding and conducts intensive research for acceptable source of references in coding updates, disease process, procedure details etc., to provide accurate audit and feedback to coding staff.
-Keeping updated to facility specific guidelines and compliance to ensure accuracy in auditing.
-Attends necessary coding education sessions to receive updated coding information and changes in coding and/or regulations.
-Able to think independently and impartial judgment.
-Able to adapt on technologies use in coding and auditing.
-Maintains confidentiality of information.
-Adheres to all HIPAA privacy and security policies and practices. Reports violations and incidents they observe and cooperates in investigations as requested by management.
-Capable of doing coding to its minimum as needed in the production.
-Perform as a team player
-Adhere to the individual MiraMed Coding Compliance Guideline Policy and Procedure memos as distributed.
-Attendance in accordance with company HR and department policies
-Other tasks/functions that may be assigned by the company as per business requirement; these may change from time to time to reflect the changing requirement of your position and our business

Qualifications:
-College diploma or equivalent.
-Preferably possess a current CCS/CPC/CCS-P/CIC/COC/CCA (or equivalent) medical coder certification.
-Must have at least two (2) years coding experience within the organization and excellent annual evaluation rating.

Job Perks You'll Enjoy:
-70k Sign-On Bonus
-Temporary Work from home set-up
-HMO on day 1 plus 2 HMO dependents coverage upon regularization
-Annual Performance Appraisal
-Internal Career Mobility