Healthcare QC Analyst: Coding Denials & Process Optimization

PwC; Manila; On-site; PHP 500,000 - 700,000; Full time

Job summary

PwC Acceleration Center Manila seeks an RCMS US Healthcare QC Analyst (Clinical/Coding Denials) to join a diverse client portfolio across geographies. You will engage in optimizing operational efficiency, analyzing processes, and developing strategies with healthcare billing and technology solutions.

Growth, hands-on learning, and collaboration are emphasized. As an Associate, you will work with cross-functional teams, adapt to various clients, and contribute to delivering quality work that

Qualifications

• Bachelor’s degree or equivalent required.
• 1–4 years of experience recommended.
• Proficiency in English (oral and written).
• Experience with coding denials/quality assurance/training.

Responsibilities

• Analyze operational processes to identify improvement opportunities.
• Develop strategies to optimize efficiency and performance.
• Collaborate with clients to implement technology solutions and automation.
• Support development of operational excellence frameworks.
• Collect and interpret data to guide operational decisions.
• Apply lean process improvement techniques to streamline operations.
• Participate in project management tasks supporting initiatives.
• Leverage emerging technologies to enhance processes.
• Contribute to innovative solutions for client challenges.
• Engage in team discussions to provide actionable insights.

Skills

English proficiency

Coding denials

Medical billing

Microsoft Office

Education

Bachelor's degree

Tools

Microsoft Office

Healthcare billing software

Job description

PwC Acceleration Center Manila seeks an RCMS US Healthcare QC Analyst (Clinical/Coding Denials) to join a diverse client portfolio across geographies. You will engage in optimizing operational efficiency, analyzing processes, and developing strategies with healthcare billing and technology solutions.

Growth, hands-on learning, and collaboration are emphasized. As an Associate, you will work with cross-functional teams, adapt to various clients, and contribute to delivering quality work that