job description
Join a dynamic healthcare team as an Outpatient Medical Coding Quality Assurance Specialist in the heart of Bali, Indonesia. This role is pivotal in ensuring the highest standards of coding accuracy and compliance in outpatient medical records. You will conduct thorough audits, identify discrepancies, and implement corrective actions to enhance coding precision, ultimately contributing to improved patient care and operational efficiency.
Based in one of Baliâs vibrant locationsâCanggu, Ubud, Denpasar, Jimbaran, Nusa Dua, Kuta, or Badungâyou will collaborate with a team of healthcare professionals to maintain the integrity of medical data. Your expertise will directly impact reimbursement accuracy, regulatory compliance, and the overall quality of healthcare services.
This is a unique opportunity to combine your passion for healthcare with the lifestyle benefits of working in Bali, a global hub for digital nomads and professionals seeking a balanced work-life environment.
Responsibility
- Conduct comprehensive audits of outpatient medical coding to ensure accuracy, completeness, and compliance with industry standards (e.g., ICD-10, CPT, HCPCS).
- Identify coding errors, inconsistencies, or areas for improvement and provide actionable feedback to coding staff.
- Develop and implement quality assurance processes to minimize errors and enhance coding efficiency.
- Collaborate with healthcare providers, billers, and administrators to resolve coding discrepancies and improve documentation practices.
- Stay updated on changes in medical coding guidelines, regulations, and payer policies to ensure compliance.
- Generate detailed reports on audit findings, trends, and recommendations for process improvements.
- Train and mentor coding staff on best practices, new regulations, and quality standards.
- Participate in cross-functional meetings to address coding-related issues and support revenue cycle optimization.
Qualifications
- Bachelorâs degree in Health Information Management, Medical Coding, Nursing, or a related field. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification is highly preferred.
- Minimum of 3 years of experience in medical coding, with at least 2 years specializing in outpatient coding and quality assurance.
- In-depth knowledge of ICD-10-CM, CPT, HCPCS, and other relevant coding systems.
- Strong analytical skills with the ability to interpret complex medical records and identify coding inaccuracies.
- Excellent communication and interpersonal skills to effectively collaborate with healthcare teams and stakeholders.
- Proficiency in using medical coding software and electronic health record (EHR) systems.
- Attention to detail and a commitment to maintaining high standards of accuracy and compliance.
- Ability to work independently and manage multiple priorities in a fast-paced environment.