PB Global QA Coder Auditor (QC) | Onsite

Work Setup: Onsite (QC)

License: Active PHRN License

Certification: Active CPC, COC, CCS, CCS-P

Educational Attainment: Bachelor's degree in nursing or a related field (medical allied courses). Advanced degrees or certifications may be preferred.

Responsibilities:

• 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

Requirements:

• 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