AI-Powered Medical Coding Quality Analyst

Magnum Transaction Sub Philippines, LLC.; Manila; On-site; PHP 700,000 - 900,000; Full time

Job summary

Magnum Transaction Sub Philippines, LLC. is seeking a qualified professional for a role focused on AI-driven healthcare technology. You will review and validate AI-generated claims data, ensuring accuracy in coding and billing guidelines.

The ideal candidate has a Bachelor’s degree in a healthcare-related field, relevant certifications, and a minimum of 5 years of experience in healthcare with expertise in medical coding. Strong analytical skills and familiarity with AI tools are essential for contributing to continuous improvements in workflows.

Qualifications

• Minimum of 5 years of relevant healthcare experience, including at least 3 years in medical coding.
• Proficiency in applying CPT, ICD‑10‑CM, and HCPCS coding conventions.
• Familiarity with AI‑driven tools such as Natural Language Processing (NLP) platforms.

Responsibilities

• Review and validate AI-generated claim data.
• Verify coding guidelines and confirm accuracy.
• Provide feedback to AI for model improvement.

Skills

Medical coding

Healthcare experience

Understanding of US health insurance

Proficiency in Microsoft applications

Education

Bachelor’s degree in health information management, Nursing or related field

Active AAPC CPC certification or AHIMA CCS-P or CCS

Tools

AI-driven tools like Computer‑Assisted Coding (CAC)

Job description

Magnum Transaction Sub Philippines, LLC. is seeking a qualified professional for a role focused on AI-driven healthcare technology. You will review and validate AI-generated claims data, ensuring accuracy in coding and billing guidelines.

The ideal candidate has a Bachelor’s degree in a healthcare-related field, relevant certifications, and a minimum of 5 years of experience in healthcare with expertise in medical coding. Strong analytical skills and familiarity with AI tools are essential for contributing to continuous improvements in workflows.