Supervisor, Quality Analysis

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 25 applicants

Join to apply for the Supervisor, Quality Analysis (OP Coding, SDS) role at Med-Metrix

Get AI-powered advice on this job and more exclusive features.

Position Summary
We are seeking a detail-oriented and experienced

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.
  

Skills & Competencies

• 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.

Seniority level

• Seniority level Mid-Senior level

Employment type

• Employment type Full-time

Job function

• Job function Quality Assurance
• Industries Hospitals and Health Care

Referrals increase your chances of interviewing at Med-Metrix by 2x

Get notified about new Quality Supervisor jobs in Pasig, National Capital Region, Philippines .

Pasig, National Capital Region, Philippines 3 months ago

Makati, National Capital Region, Philippines 1 week ago

Quality Assurance Supervisor (Open for Negotiation)

Mandaluyong, National Capital Region, Philippines 2 days ago

Quezon City, National Capital Region, Philippines 2 days ago

Makati, National Capital Region, Philippines 4 days ago

Makati, National Capital Region, Philippines 5 days ago

Cavite, Calabarzon, Philippines 1 month ago

Taguig, National Capital Region, Philippines 2 weeks ago

Quality Supervisor (Healthcare) | Bacoor, Cavite

Marilao, Central Luzon, Philippines 9 months ago

Quezon City, National Capital Region, Philippines 4 days ago

Quezon City, National Capital Region, Philippines 1 month ago

Muntinlupa City, National Capital Region, Philippines 3 months ago

Makati, National Capital Region, Philippines 2 weeks ago

National Capital Region, Philippines 2 weeks ago

Muntinlupa City, National Capital Region, Philippines 1 week ago

Makati, National Capital Region, Philippines 3 days ago

Manager – QA, Delivery and Business Analysis

Makati, National Capital Region, Philippines 2 weeks ago

Makati, National Capital Region, Philippines 3 days ago

Production Supervisor/1-2 yrs. in Food Manufacturing/ISO GHP FSSC

Valenzuela, National Capital Region, Philippines 3 weeks ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

#J-18808-Ljbffr

---