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 Management and Patient Access departments. This role ensures compliance with regulatory standards, drives process improvements, and oversees the accuracy and integrity of patient information and access workflows. The manager collaborates with cross-functional teams to enhance operational efficiency, patient satisfaction, and revenue cycle performance.

Responsibilities
  • Develop, implement, and maintain comprehensive QA programs for HIM and Patient Access operations.
  • Conduct regular audits of documentation, coding, registration, and patient access processes to ensure compliance with HIPAA, CMS, and accreditation standards.
  • Analyze audit results and lead root cause investigations to recommend and implement corrective actions.
  • Monitor key performance indicators (KPIs) and prepare quality reports for leadership.
  • Lead compliance and risk management efforts to ensure adherence to federal, state, and organizational policies and regulations.
  • Serve as a liaison between HIM, Patient Access, clinical departments, and external partners to promote quality initiatives.
  • Effectively communicate QA findings and improvement plans to stakeholders at all levels.
Qualifications
  • Bachelor’s degree in health information management, Healthcare Administration, or related field
  • RHIA or RHIT certification preferred
  • Minimum 5 years of experience in HIM and/or Patient Access with at least 2 years in a quality assurance and supervisory/managerial role
  • Strong knowledge of healthcare regulations, coding standards, and revenue cycle processes
  • Experience with electronic health record (EHR) systems and QA tools
  • Excellent leadership, analytical, and communication skills
Core Competencies
  • Quality assurance and compliance expertise
  • Leadership and team management
  • Continuous quality improvement framework
  • Regulatory knowledge and risk management
  • Effective communication and collaboration
Details
  • Seniority level: Mid-Senior level
  • Employment type: Full-time
  • Job function: Research, Analyst, and Information Technology
  • Industries: Hospitals and Health Care
Benefits
  • Day 1 HMO with 2 dependents covered for free
  • Medical Cash Allowance
  • Rice Allowance
  • Clothing Allowance
  • Paid Time Off
  • Training and Staff Development
  • Employee Engagement Activities
  • Opportunities for Internal Mobility

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