Outpatient QA Coder

PM Consulting; Metro Manila; On-site; PHP 350,000 - 520,000; Full time

Benefits offered by this job

Competitive salary package

HMO and health benefits

Career growth and upskilling

Job summary

PM Consulting is seeking a detail-oriented Outpatient QA Coder to join our team in Metro Manila. You will review clinical documentation and assign accurate codes for outpatient encounters in line with coding guidelines and regulatory requirements.

Responsibilities include reviewing records and assigning ICD-10-CM, ICD-10-PCS and DRG codes, ensuring accuracy, and querying physicians when needed. This role emphasizes QA, compliance and continuous improvement.

Qualifications

• Active certification (CPC, CCS, CIC or CCS-P).
• 1–3 years OP QA coding experience, acute care preferred.
• Strong ICD-10-CM/ICD-10-PCS coding knowledge and DRG assignment.
• Medical terminology, anatomy and physiology understanding.
• Experience with EMR/EHR systems and encoder tools.
• Analytical, detail-oriented and accurate work style.

Responsibilities

• Review inpatient medical records to assign ICD-10-CM, ICD-10-PCS and DRG codes.
• Ensure coding accuracy, completeness and regulatory compliance.
• Interpret physician notes, labs and discharge summaries.
• Query physicians when documentation is unclear.
• Meet productivity and quality benchmarks.
• Stay updated with coding changes, payer guidelines and compliance.
• Collaborate with QA and audit teams for improvement.

Skills

OP QA coding experience

Attention to detail

Analytical skills

Medical terminology

Tools

EMR/EHR systems

Encoder tools

Job description

We are looking for a detail-oriented and certified Outpatient QACoder to join our team. In this role, you will be responsible for reviewing clinical documentation and assigning accurate codes for inpatient encounters in compliance with coding guidelines and regulatory requirements.

Key Responsibilities

Review and analyze inpatient medical records to assign accurate ICD-10-CM, ICD-10-PCS, and DRG codes

Ensure coding accuracy, completeness, and compliance with AHIMA/AAPC standards

Interpret clinical documentation including physician notes, lab results, and discharge summaries

Query physicians when documentation is insufficient or unclear

Meet productivity and quality benchmarks

Stay updated with coding changes, payer guidelines, and compliance requirements

Collaborate with QA and audit teams for continuous improvement

Qualifications

Active certification (any of the following):

CPC, CCS, CIC, or CCS-P

Minimum 1–3 years of OP QAcoding experience (acute care setting preferred)

Strong knowledge of:

ICD-10-CM / ICD-10-PCS coding

DRG assignment

Medical terminology, anatomy, and physiology

Experience with EMR/EHR systems and encoder tools

Good analytical and problem-solving skills

Strong attention to detail and accuracy

Preferred Qualifications

Experience in US healthcare / revenue cycle management

Exposure to auditing or quality assurance processes

Familiarity with payer-specific guidelines

What We Offer

Competitive salary package

HMO and other health benefits

Career growth and upskilling opportunities