Hospital Coding QA Lead & Educator (DRG/APC Focus)

ASP-RCM Solutions; Metro Manila; On-site; PHP 420,000 - 540,000; Full time

Job summary

ASP-RCM Solutions in Manila is seeking a Hospital Medical Coding Quality Assurance Specialist to ensure accuracy and compliance across inpatient and outpatient records.

You will audit coded encounters, validate DRG/APC assignments, and support coding teams with education and feedback, while collaborating with CDI teams and staying current with guidelines and reimbursement changes. This role also involves denial management support and ongoing process improvement to reduce claim denials.

Qualifications

• Audit inpatient and outpatient coding accuracy and compliance.
• Validate DRG/APC assignments and support coding teams with education and feedback.
• Collaborate with CDI teams and participate in denial management.
• Stay current with coding guidelines and reimbursement changes.

Responsibilities

• Audit inpatient and outpatient coded encounters for accuracy and compliance.
• Validate DRG/APC assignments and provide education and feedback to coding teams.
• Collaborate with CDI teams and participate in denial management.

Job description

ASP-RCM Solutions in Manila is seeking a Hospital Medical Coding Quality Assurance Specialist to ensure accuracy and compliance across inpatient and outpatient records. The role focuses on auditing coded encounters, validating DRG/APC assignments, and supporting coding teams with education and feedback.

You will collaborate with CDI teams, participate in denial management, and stay current with coding guidelines and reimbursement changes.