Clinical Quality Assurance Specialist

R1 RCM Philippines Inc; Quezon City; On-site; PHP 600,000 - 800,000; Full time

Benefits offered by this job

Medical plan (HMO) from Day 1

Life insurance

Paid Time-Off (PTO) & Sick leave

Night differential

Employee referral program

Statutory benefits

Job summary

R1 RCM Philippines Inc is seeking a Multi-Specialty Quality Reviewer to conduct internal quality reviews across medical coding specialties, assessing coder performance and coding accuracy. This role focuses on identifying areas for improvement, improving coding efficiency, and providing educational opportunities to coders.

You will assist in educating coders, resolving coding issues, and supporting improvement initiatives while staying current with coding guidelines and payer policies in a

Responsibilities

• Conduct internal quality reviews across multiple medical coding specialties to assess coder performance and coding accuracy.
• Identify areas for improvement, enhance coding efficiency, and provide educational opportunities for coders.
• Assist in educating coders, resolve coding issues, and drive improvement initiatives.
• Stay up-to-date with official coding guidelines and payer policies.

Job description

As a Multi-Specialty Quality Reviewer, you will be responsible for conducting internal quality reviews across different medical coding specialties to assess coder performance and coding accuracy. This role will focus on identifying areas for improvement, enhancing coding efficiency, and providing educational opportunities to ensure that coding practices meet industry standards and compliance requirements. You will also assist in educating coders, resolving coding issues, and improvement initiatives. Additionally, you are expected to be up to date with the official coding guidelines and payer policies. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits.

What’s in it for you?

• Competitive Total Rewards Package
• Target variable incentives
• Medical Plan (HMO) from Day 1 of employment with free dependents
• Life insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Night Differential offered
• Employee Referral Program
• All Mandatory Statutory Benefits

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, or any other characteristic protected by local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

Visit us on Facebook: https://www.facebook.com/r1rcmphilippines #R1Philippines #AllTogetherBetterinR1PH R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com.