Healthcare QC Denials Analyst - Coding & Process Improvement

PwC Acceleration Center Manila; Quezon City; On-site; PHP 500,000 - 800,000; Full time

Job summary

PwC Acceleration Center Manila is seeking an RCMS US Healthcare QC Analyst (Clinical/Coding Denials) to help optimize operations for healthcare clients. The role emphasizes learning, adaptability, and teamwork within a global advisory context.

As an Associate, you will analyze processes, collaborate on technology solutions, and contribute to operational excellence initiatives while developing your skills and delivering value to clients and colleagues alike.

Qualifications

• Bachelor's degree required.
• 1–4 years of experience.
• Fluent in spoken and written English.
• Proven experience in coding denials, QA, and training.

Responsibilities

• Analyze operational processes to identify improvements and boost productivity.
• Develop strategies to optimize efficiency and drive performance.
• Collaborate with clients to implement technology solutions and automation.
• Support development of operational excellence frameworks to improve quality.
• Gather and interpret data to inform strategies and solutions.
• Apply lean process improvement techniques to streamline operations.
• Engage in project management tasks to support initiatives.
• Utilize emerging technologies to enhance processes and solutions.
• Contribute to innovative solutions for client challenges.
• Participate in team discussions to provide insights for improvements.

Skills

English proficiency

Coding denials

Quality assurance

Training

Education

Bachelor's degree

Tools

Healthcare billing software

Microsoft Office

Job description

PwC Acceleration Center Manila is seeking an RCMS US Healthcare QC Analyst (Clinical/Coding Denials) to help optimize operations for healthcare clients. The role emphasizes learning, adaptability, and teamwork within a global advisory context.

As an Associate, you will analyze processes, collaborate on technology solutions, and contribute to operational excellence initiatives while developing your skills and delivering value to clients and colleagues alike.