Position Title:Performance Quality Auditor (PHL) Shift:8:00 PM to 5:00AM (Philippines) Job Description: Responsible for evaluating the quality of services and interactions provided by organizations within the enterprise. Included are processes related to enrollment and billing and claims
Accountability: Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs
College Graduate of BS Nursing or Med Allied Course Active CIC, CCS, CPC required At least 1 year, 6 months of experience in DRGV/ IP Auditor or 3-5 years IP coding experience • Review inpatient medical records for