QA Specialist | Risk Adjustment Medical Coder

5 days ago


Taguig, Philippines Shearwater Health Full time

Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careers Physical Sites: Taguig, Cebu, and Pampanga Our Clinicians & Associates advocates for better patient care while enjoying these benefits: Work from Home Getasmuchas5Kuponcompletion oftherecruitmentprocess HMO on Day 1 with 2 Dependents upon regularization Group Life Insurance Highly Competitive Salary Annual Salary Increase Quarterly Performance Bonus Service Incentive Leave (SIL) with Leave Conversion Work-Life Integration Get Visa Sponsorship & Work Abroad (*) The responsibilities of aQA Specialist are outlined but not limited to the following: Responsible in ensuring accuracy of information and quality of delivery by monitoring, auditing, reviewing, analyzing, documenting work processes that further improves clinical operations standards Performs quality audits, validates results and communicates recommendation among responsible departments Participates in design, review, and amendment of QA monitoring tools and guides. Creates QA reports and provides data to Quality Assurance leadership Uses quality monitoring data management system to track and document performances Works with the Operations and Training teams to analyze performance feedback and resolve issues Required Qualifications: Active license as Registered Nurse in the Philippines Active coding certification (CPC/CIC/CCS) At least 12 months of Risk Adjustment Coding experience Preferred: QA experience preferably Expert on related clinical work experience, client techniques and processes Excellent organizational and planning skills with ability to multi-task With good attention to details Excellent oral, written and interpersonal communication skills. Exceptional listening and analytical skills. Knowledgeable in MS Office applications especially Word, PowerPoint and Excel #J-18808-Ljbffr



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