Quality Analyst - Medical Coder

Gratitude Inc

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3 months ago

Quality Analyst - Medical Coder

3-6 Year(s)

60 - 70 Thousand p.m

Manila (Taguig)

Job Description

Key Skills

RHIA RHIT CPC good communication skills ICD-10 CPT Codes Exposure in CPT codes AHIMA or AAPC coding

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Job title: Quality Analyst - Medical Coder

Location: On-site in Taguig

Work Timing: Morning shift

Salary: 60,000 - 68,000 all-in package (Depending on the experience)

Target start date: Immediately/ August 29, 2025

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.

Role

QA Analyst

Timings

Flexible (Permanent)

Industry

BPO

Work Mode

Work from office

Process

Voice

Functional Area

ITES / BPO / Customer Service

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