Outpatient Quality Assurance
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Join the leading healthcare revenue cycle management provider as a Outpatient QA and earn Competitive pay, HMO on Day 1, and more
As a Quality Reviewer, you will be responsible for conducting internal quality reviews across different medical coding specialties to assess coder performance and coding accuracy. This role will focus on identifying areas for improvement, enhancing coding efficiency, and providing educational opportunities to ensure that coding practices meet industry standards and compliance requirements. You will also assist in educating coders, resolving coding issues, and improvement initiatives. Additionally, you are expected to be up to date with the official coding guidelines and payer policies.
Qualifications:
- At least 5 years of total work experience in medical coding for outpatient Profee settings with exposure to multiple specialties (coding or auditing for Profee (E/M IP & E/M OP)
- At least 1 year of experience as a quality auditor is preferred.
- License/Certifications: Currently holds and maintains at least 1 role-related certification (CPC, COC, CCS, CCS-P for outpatient roles, CPMA for auditing role).
- Education – Bachelor’s degree in a medical allied course is preferred. For other courses, a high level of knowledge and relevant work experience to illustrate capability.
What we offer
R1 RCM PHILIPPINES, INC. provides a competitive salary and a comprehensive benefits package, including health insurance and opportunities for professional development. Our company culture is focused on collaboration, innovation, and a commitment to excellence in healthcare revenue cycle management.
About us
R1 RCM PHILIPPINES, INC. is a leading provider of revenue cycle management services for healthcare organizations. With a strong focus on technology and innovation, we partner with our clients to optimize their financial performance and improve the patient experience. Our team of dedicated professionals is driven by a shared mission to transform healthcare through intelligent revenue cycle solutions.
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