Charge Audit - Nurse Coder

Qualifications:

Bachelors degree required.

AHIMA or AAPC coding certification is a strong advantage.

Preferably with 12 years of experience in Outpatient Facility Coding, specifically with Injection and Infusion services.

Prior experience working with Electronic Health Records (EHR), particularly EPIC.

Must be willing to work onsite in Taguig.

Key Responsibilities:

Analyze medical records, physician notes, and other documentation to identify billable services and ensure accurate coding using appropriate (CPT, ICD, and HCPCS) codes.

Review physician documentation and assign correct procedure charges, including CPT codes and applicable modifiers.

Identify and resolve discrepancies, missing charges, and other errors in the charge entry process.

Ensure compliance with client specifications, coding guidelines, Coding Clinics, HIPAA, and GRIC requirements.

Consistently meet daily productivity targets and incorporate feedback provided by the quality assurance team.

Stay current with coding updates and maintain service level agreements (SLAs) by actively participating in feedback sessions and ongoing education.