Quality Analyst

Gratitude Inc. is a professional HR Tech Recruitment firm specializing in recruiting permanent, contract, and temporary positions for the world's top companies. Our base is in India, Philippines, Malaysia, and Africa. We are a direct sourcing partner Company of the different top BPOs offshore and onshore.

We have an ongoing hiring for QA - Medical Coder for our BPO Partner in Taguig City.

Job title: Quality Analyst - Medical Coder

Work set up: 100% onsite in Taguig

Work shift: Morning shift

Salary: 60K to 68K package

Start date: ASAP

Headcount: 1

Education and Certification:

• Must be a graduate in any Life sciences- Physiotherapy, Pharmacy, Nursing, Biosciences with Anatomy/physiology as a subject..
• Certified Professional Coder (CPC) credentialed from the American Academy of Professional
• Coders (AAPC) obtained before hire or job transfer. All specialties accepted.
• Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained before hire or job transfer.
• Preferred RHIA/RHIT as additional certification.

Requirements:

• Experience in E&M Specialty Coding- Outpatient, Inpatient, observation, Critical care facilities using ICD, Modifiers, CPT, HCPCS codes
• Must have a minimum of 3+ years of experience in E&M inpatient and/or outpatient medical record review, coding and reimbursement. Coding audit experience preferred.
• Must have strong knowledge of ICD-10-CM/PCS and CPT coding and prospective payment systems and proficiency with Microsoft Windows operating systems and Office applications, such as Word, Excel, and PowerPoint
• Able to work well with minimal supervision.
• Able to communicate clearly both written and verbally.
• Able to generate reports for management review that clearly present audit results.
• Able to meet deadlines and respond well to frequent changes in regulation.
• Able to maintain positive and productive relationships with internal and external teams and customers.
• Able to work independently and be a self-starter.
• Willing to work on-site in Taguig
• Must be amenable to attend for an onsite assessment

Responsibilities:

• Performs audits on the accuracy of ICD-10, CPT-4, HCPCS and Modifier assignments.
• Reviews claims denied/rejected for coding, documentation and clinical validation.
• Prepares reports for management review and identifies trends.
• Conducts focused retrospective audits and regular scheduled audits of individual coders.
• Manages all audits conducted by internal and external entities and responds to requests for code verification.
• In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff.

Recruitment Process:

● HR interview (Virtual)

● Onsite Assessment

● Final Interview with the Hiring Manager Onshore (Virtual)

To apply, please submit your updated resume for this post or via email at and answer the pre-screening questions.

Further details will be discussed once invited for an interview.

Our recruitment team will reach out to you via WhatsApp or a direct call once shortlisted.

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Job Type: Full-time

Pay: Php60, Php68,000.00 per month

Benefits:

• Health insurance
• Life insurance
• Opportunities for promotion
• Pay raise
• Promotion to permanent employee

Application Question(s):

• What course were you able to finish?
• Do you have active certifications for CPC, AAPC, and CCS?
• Do you have experience in E&M Specialty Coding- Outpatient, Inpatient, observation, Critical care facilities using ICD, Modifiers, CPT, HCPCS codes?
• How many years of experience do you have in E&M inpatient and/or outpatient medical record review, coding and reimbursement?
• Do you have a strong knowledge of ICD-10-CM/PCS and CPT coding and prospective payment systems?
• Are you amenable to work onsite in Taguig and on a morning shift?
• Are you willing to attend for an onsite assessment?
• How much is your last drawn salary?
• How much is your salary expectation?
• Are you available to start on August 29, 2025 once hired?

Work Location: In person

Expected Start Date: 08/29/2025