Hospital Coding QA Auditor & Compliance Specialist

ASP RCM Solutions Inc.; Manila; On-site; PHP 446,400 - 781,200; Full time

Job summary

A healthcare solutions provider in Manila is seeking a Hospital Medical Coding Quality Assurance (QA) Specialist. This role ensures the accuracy and compliance of hospital coding for records through auditing and education. The ideal candidate has 3-5 years of hospital coding experience and relevant certifications. Strong analytical skills and knowledge of coding guidelines are essential. The position offers full-time employment with a focus on continuous improvement and collaboration with clinical teams.

Qualifications

• Minimum 3-5 years hospital coding experience.
• 1-2 years in QA/auditing preferred.
• Experience in hospital-based coding audits and denial management.

Responsibilities

• Ensure accuracy, compliance, and integrity of medical coding.
• Conduct retrospective and concurrent audits of coded records.
• Provide feedback to coders based on audit findings.

Skills

Hospital-based coding audits

Denial management

ICD-10-CM knowledge

ICD-10-PCS knowledge

CPT knowledge

Analytical skills

Communication skills

Education

CCS, CIC, CPC, CPMA or equivalent certification

Tools

3M

Optum

Meditech

Job description

A healthcare solutions provider in Manila is seeking a Hospital Medical Coding Quality Assurance (QA) Specialist. This role ensures the accuracy and compliance of hospital coding for records through auditing and education. The ideal candidate has 3-5 years of hospital coding experience and relevant certifications. Strong analytical skills and knowledge of coding guidelines are essential. The position offers full-time employment with a focus on continuous improvement and collaboration with clinical teams.