USRN Medical Coder (Hybrid) at Tasq Staffing Solutions, Inc.

Taguig, Metro Manila, Philippines -

Full Time

Start Date

Immediate

Expiry Date

22 Jun, 26

Salary

0.0

Posted On

24 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Coding, ICD-10, Clinical Guidelines, Medical Audit, Claims Analysis, Audit Determinations, Audit Findings Letters, Documentation Discrepancies, Clinical Documentation Improvement, Medical Claims Billing, Provider Billing Guidelines, Payer Reimbursement Policies, Coding Terminology, USRN License, Audit Tools, Quality Assurance

Industry

Staffing and Recruiting

Description

Location: BGC Taguig or Iloilo City Work Setup: Hybrid but work onsite frequency is still being deliberated Work Schedule: Night Shift, Shifting Schedule, No fixed weekends off Target Start Date: August 3, 2026 Headcount Requirement: 30 Non-negotiable Requirements: Valid USRN license (Mainland US only) - must be valid 6 months after the start date Valid medical coding license (Any 1 of the following: CDIP-AHIMA, CPC, CCS (AHIMA) - IP/OP, CIC from AAPC, RHIT/RHIA, or CCDS) At least 2 years of bedside experience At least 1 year of Inpatient OR Outpatient Coding experience Job Description: Conducts thorough analysis and audits of claims by seamlessly integrating medical chart coding principles, clinical guidelines, and an objective approach to ensure precise medical audit activities. Leverages advanced ICD-10 coding expertise, deep clinical guideline knowledge, and industry insights to confidently support audit conclusions. Utilizes cutting-edge audit tools, streamlined auditing workflow systems, and comprehensive reference materials to deliver accurate audit determinations and craft detailed audit findings letters. Consistently upholds the highest standards of accuracy and quality, in line with audit management expectations. Detects potential documentation and coding discrepancies by identifying unusual coding and documentation patterns, including inappropriate billing for readmissions, inpatient admission statuses, and Hospital-Acquired Conditions (HACs). Proactively recommends and develops impactful, high-value concepts and process improvements aimed at boosting efficiency and quality. Brings a wide range of experience in clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology—preferred skills that help make audits more effective.

Responsibilities

The role involves conducting thorough analysis and audits of claims by integrating medical chart coding principles and clinical guidelines to ensure precise medical audit activities. This includes leveraging ICD-10 expertise to support audit conclusions and utilizing audit tools to deliver accurate determinations and detailed findings letters.