Medical Coder Quality Assurance Analyst

5 days ago

Manila, National Capital Region, Philippines Private Advertiser Full time ₱600,000 - ₱1,200,000 per year
Job Responsibilities
  • Conduct internal audits to ensure accuracy, consistency, and compliance with coding standards (ICD-10, CPT, HCPCS).
  • Review denied or rejected claims for issues related to coding, documentation, and clinical validation.
  • Identify and correct coding errors and discrepancies.
  • Provide feedback and education to coders and healthcare providers to improve coding quality.
  • Collaborate with billing and operations teams to resolve coding-related issues and improve revenue cycle performance.
  • Maintain up-to-date knowledge of coding guidelines, regulatory changes, and payer requirements.
  • Prepare detailed audit reports and recommend process improvements.
  • Use coding software and EHR systems to support coding accuracy and documentation.
Job Qualifications
  • Education: Graduate of a Medical Allied course (e.g., Nursing, Medical Technology, Physical Therapy).

  • Certification: Must hold an active coding certification such as:

  • CPC (Certified Professional Coder)

  • CCS (Certified Coding Specialist)
  • CIC, CRC, BCHH-C (depending on specialization)

  • Experience:

  • Minimum 6 months of Inpatient (IP) Coding experience.

  • Preferably with prior experience in Quality Assurance related to medical coding.

  • Skills:

  • Strong attention to detail and analytical skills.

  • Excellent communication and interpersonal abilities.
  • Proficiency in MS Office (Word, Excel, PowerPoint).
  • Familiarity with quality monitoring tools and documentation systems.

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