Clinical Quality Assurance Specialist

R1 RCM; Quezon City; On-site; PHP 2,415,458 - 3,623,188; Full time

Benefits offered by this job

Competitive Total Rewards Package

Medical Plan (HMO)

Life insurance

Paid Time-Off Benefits

Night Differential

Job summary

R1 RCM in Quezon City, Philippines is seeking a Multi-Specialty Quality Reviewer responsible for conducting internal quality reviews across various medical coding specialties. The role focuses on assessing coder performance and enhancing coding accuracy, while also educating coders and resolving coding issues.

This position is part of a fast-growing team that values collaboration and professional development. With a commitment to community impact and employee well-being, R1 RCM offers a competitive benefits package and a culture that drives success in patient care.

Qualifications

• Experience in conducting quality reviews in medical coding.
• Knowledge of coding guidelines and payer policies.
• Skills in identifying areas for improvement and enhancing efficiency.

Responsibilities

• Conduct internal quality reviews to assess coder performance.
• Identify areas for improvement in coding accuracy.
• Assist in educating coders and resolving coding issues.

Skills

Internal quality reviews

Coding accuracy

Educating coders

Driving improvement initiatives

Healthcare knowledge

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 coding practices meet industry standards and compliance requirements. You will also assist in educating coders, resolving coding issues, and driving improvement initiatives. Additionally, you are expected to stay up to date with 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 provides opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests.

Our associates contribute to meaningful work that impacts the communities we serve globally. We offer a culture of excellence that drives customer success and improves patient care, and we believe in giving back to the community. We also provide a competitive benefits package.

Benefits

• 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

Equal Employment Opportunity

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.