Quality Analyst - Medical Coder

Gratitude Inc

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6 days ago

Quality Analyst - Medical Coder

3-5 Year(s)

60 - 65 Thousand p.m

Manila (Taguig)

Job Description

Key Skills

Quality Analyst

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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

● No active application with the client

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)

Role

QA Analyst

Timings

Day Shift (Permanent)

Industry

BPO

Work Mode

Work from office

Process

Voice

Functional Area

ITES / BPO / Customer Service

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