Coding Quality Lead: Orthopedic & E/M Audit Expert

create synergies inc.; Philippines; On-site; PHP 1,200,000 - 1,800,000; Full time

Job summary

Create Synergies Inc. in the Philippines seeks an experienced Coding Quality Manager to lead the Coding Quality and Audit team, overseeing QA programs, audits, and education for providers to ensure CMS compliance and coding guidelines.

The ideal candidate has extensive Orthopedic Surgery and/or E/M coding audit experience, strong leadership, and expertise in ICD-10-CM, CPT, HCPCS, and physician coding compliance to drive ongoing quality and regulatory alignment across the organization.

Qualifications

• Minimum 4 years of coding audit experience in Orthopedic Surgery and/or E/M coding.
• Minimum 2 years of supervisory experience leading coding teams.
• Active AAPC certification: CPC, CPMA, COSC or CEMC.
• AHIMA CCS-P or CCS with relevant physician coding audit experience.
• Associate's or Bachelor's degree in Health Information Management, Health Services Administration, or related field preferred.
• Intermediate to advanced proficiency in Microsoft Excel and Microsoft Office applications.
• Must pass a coding assessment.

Responsibilities

• Lead and manage the Coding Audit and Education team, providing coaching, guidance, and performance oversight.
• Develop, implement, and maintain coding quality assurance and audit programs.
• Conduct coding audits to ensure CMS regulatory and organizational policy compliance.
• Identify coding trends and risks, driving process improvements.
• Develop and deliver coding education sessions for providers and coders.

Skills

Coding audits

Leadership

Education & training

Regulatory compliance

Communication

Data analysis

Education

Associate's degree in Health Information Management or related field

Bachelor's degree in Health Services Administration or related field

Tools

Microsoft Excel

Microsoft Office

Job description

Create Synergies Inc. in the Philippines seeks an experienced Coding Quality Manager to lead the Coding Quality and Audit team, overseeing QA programs, audits, and education for providers to ensure CMS compliance and coding guidelines.

The ideal candidate has extensive Orthopedic Surgery and/or E/M coding audit experience, strong leadership, and expertise in ICD-10-CM, CPT, HCPCS, and physician coding compliance to drive ongoing quality and regulatory alignment across the organization.