Supervisor, Quality Analysis

4 weeks ago

Pasig, Philippines Med-Metrix, LLC Full time
Supervisor, Quality Analysis (OP Coding, SDS) Job Description

Posted Thursday, August 21, 2025 at 4:00 PM

Position Summary:

We are seeking a detail-oriented and experienced Medical Coding QA Supervisor with specialized expertise in Same Day Surgery (SDS ) and Observation coding to lead our quality assurance team. The ideal candidate will oversee the auditing task of QAs, ensure compliance with regulations and organizational standards, and support continuous improvement in coding accuracy and productivity. This role requires advanced knowledge of CPT, ICD-10-CM, and HCPCS coding systems with a strong focus on SDS procedures.

Key Responsibilities:

  • Supervise daily operations of the coding QA team, specifically SDS & Observation audits.
  • Conduct internal audits to evaluate accuracy, consistency, and regulatory compliance in SDS coding, when needed.
  • Monitor coding performance and quality metrics; provide actionable feedback to improve team effectiveness.
  • Develop, implement, and maintain coding QA policies and procedures in collaboration with leadership.
  • Collaborate with coding education staff to identify training needs and deliver targeted education based on audit findings.
  • Act as a subject matter expert for SDS & Observation coding questions and escalated cases.
  • Ensure coding practices align with federal guidelines, payer-specific policies, and organizational goals.
  • Provide detailed reporting and analysis of audit results to leadership, identifying trends and risks.
  • Maintain up-to-date knowledge of coding standards, CMS regulations, payer guidelines, and industry best practices.
  • Participate in hiring, onboarding, and mentoring QA.
  • Support coding projects, system upgrades, and other initiatives as assigned.

Qualifications:

Education & Certification:

  • Associate or bachelor’s degree in health information management, Health Sciences, or related field preferred.
  • Active certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required.
  • CPMA certification is preferred but not required.

Experience:

  • Minimum 5 years of medical coding experience , with at least 2 years specializing in Same Day Surgery (SDS) & Observation .
  • Minimum 2 years of supervisory or lead experience in a QA or auditing role.
  • Strong experience with CMS, NCCI edits, and payer-specific coding guidelines.
  • IVR experience is preferred but not required.
  • In-depth knowledge of ICD-10-CM, CPT, and HCPCS Level II coding systems.
  • Proficient with EHR and coding software (e.g., EPIC, 3M, Optum).
  • Exceptional analytical and problem-solving skills.
  • Excellent communication and leadership abilities.
  • Strong attention to detail and commitment to accuracy and compliance.
  • Ability to work independently and as part of a team in a fast-paced environment.

Preferred Qualifications:

  • Experience with remote team supervision.
  • Previous experience with SDS and Observation coding audits and QA in a multi-specialty or large health system.
#J-18808-Ljbffr

  • Supervisor, Quality Analysis

    4 weeks ago

    Pasig, Philippines Med-Metrix Full time

    Supervisor, Quality Analysis (OP Coding, SDS) Med-Metrix Pasig, National Capital Region, Philippines Join or sign in to find your next job Join to apply for the Supervisor, Quality Analysis (OP Coding, SDS) role at Med-Metrix Supervisor, Quality Analysis (OP Coding, SDS) Med-Metrix Pasig, National Capital Region, Philippines 1 day ago Be among the first...

  • Quality Supervisor

    4 weeks ago

    Pasig, Philippines WNS Full time

    Quality Supervisor (Pioneer Account - Corporate Travel) WNS Pasig, National Capital Region, Philippines Quality Supervisor (Pioneer Account - Corporate Travel) WNS Pasig, National Capital Region, Philippines 1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Experience in Corporate Travel Account is...

  • QUALITY ASSURANCE SUPERVISOR

    6 days ago

    Pasig, Philippines PH Global Jet Express Full time

    Overview QA Supervisor is a specialist in preventing operational errors by ensuring that the SOPs are strictly implemented in order to prevent misoperations or problematic parcels. He/she is concerned with the proactive procedural process of J&T Operations (both internal and external). Anticipates periods of problem occurrence and proposes plans to address...

  • Manager, Quality Analysis

    3 days ago

    Pasig, National Capital Region, Philippines Med-Metrix Full time ₱600,000 - ₱1,200,000 per year

    Xtraordinary awaits YOU at Med-MetriXOur BenefitsDay 1 HMO with 2 of your dependents covered for FREEMedical Cash AllowanceRice AllowanceClothing AllowancePaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityAt Med-Metrix, technology isn't just part of our business, it's what drives us forward. Operating...

  • Manager, Quality Analysis

    3 weeks ago

    Pasig, Philippines Med-Metrix Full time

    Med-Metrix, Pasig, National Capital Region, Philippines Overview We are looking for bright, energetic, and resourceful people to join our lively and dedicated team. Work for us and you’ll learn, grow, and enjoy along the way. The HIM and Patient Access QA Manager is responsible for leading quality assurance initiatives within Health Information...

  • Quality Analyst

    2 weeks ago

    Pasig, National Capital Region, Philippines Acquire Intelligence Full time ₱300,000 - ₱600,000 per year

    We're an award-winning global outsourcer providing contact center and back office services on behalf of our global clients. Come work at a place where innovation and teamwork come together to support the most exciting missions in the worldQA is an expert in conducting end-to-end monitoring and feedback, reinforcing positive agent behaviors that will result...

  • Quality Assurance Supervisor

    2 weeks ago

    Pasig, Philippines TASQ Staffing Solutions Full time

    Overview TASQ is looking for a Quality Assurance Supervisor (Pasig). The pre-screening interview will be done over the phone, so please keep your line open. Job Details Work setup: Onsite (Pasig) Shift: 8:00 AM – 4:30 PM (Monday-Friday) and 8:00 AM – 3:00 PM (2 Working Saturdays) Key Responsibilities Creation, revision and process mapping of necessary...

  • Quality Assurance Specialist

    6 days ago

    Pasig, Philippines ECAM Full time

    Overview ECAM Pasig, National Capital Region, Philippines Quality Assurance Specialist ECAM is looking for talented individuals like you! Be the next Quality Assurance Specialist . ECAM’s Quality Assurance Specialist (QAS) is responsible for investigating incidents that happened at properties monitored by the Monitoring Center. Root cause analysis is...

  • Quality Analyst

    1 week ago

    Pasig, Philippines Acquire Full time

    We’re an award-winning global outsourcer providing contact center and back office services on behalf of our global clients. Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!QA is an expert in conducting end-to-end monitoring and feedback, reinforcing positive agent behaviors that will...

  • Purchasing Supervisor

    2 weeks ago

    Pasig, National Capital Region, Philippines JRS Business Corporation Full time ₱900,000 - ₱1,200,000 per year

    The Purchasing Supervisor is responsible for overseeing and managing the day-to-day procurement activities of the company. This role ensures the timely, cost-effective, and efficient acquisition of goods, services, and supplies while maintaining quality standards and compliance with company policies. The Purchasing Supervisor also supervises the purchasing...