Quality Analyst, Inpatent Medical Coding

Med-Metrix; Philippines; Sur place; PHP 480 000 - 800 000; Plein temps

Avantages offerts par ce poste

Day1 HMO with 2 dependents covered for

Group Life Insurance

Clothing Allowance

Holiday Gift

Bereavement Assistance

Free Lunch Daily

Paid Time Off

Employee Engagement Activities

Résumé du poste

Med-Metrix, LLC in the Philippines seeks a Quality Analyst, Inpatient Coding to collaborate on documentation, coding and compliance, and to assess coding quality on accounts completed by Medical Coders. This role designs and implements quality review programs, communicates findings to coding management, ensures HIPAA compliance and mastery of CPT, ICD-10-CM, and HCPCS.

Work-from-home, dayshift, with competitive benefits.

Qualifications

• At least 3 years of IPDRG coding experience.
• Proficient with E/M and CPT procedure coding.
• Minimum of 6 months' experience with exceptional performance in quality management coding; HIPAA knowledge required.

Responsabilités

• Lead and guide the team to meet objectives and maintain company policies and procedures.
• Manage daily operational processes to meet quality, efficiency and productivity targets.
• Collaborate across workgroups to resolve issues affecting customers and ensure schedule adherence.
• Document performance and target attainment for each team member and drive improvements.

Connaissances

IPDRG Coding

E/M CPT Coding

HIPAA knowledge

Team collaboration

Description du poste

Quality Analyst, Inpatent Medical Coding

Philippines

Job Description

Posted Wednesday, July 29, 2026 at 4:00 AM

Joinourdynamicteamandmakeameaningfulimpactinthehealthcareindustry.You'llplayapivotalroleinensuringaccurateclaimsprocessingwhileadvancingyourcareerinasupportiveandinnovativeenvironment.Enjoycompetitivebenefitsuponhire,ongoingprofessionaldevelopment,andthesatisfactionofhelpingotherseveryday.TakethenextstepinyourcareerwithMed-Metrix!

ExperiencetheseexceptionalbenefitswhenyoujoinMed-Metrix!

• Day1HMOwith2ofyourdependentscoveredforFREE
• GroupLifeInsurance
• ClothingAllowance
• HolidayGift
• BereavementAssistance
• FreeLunchDaily
• PaidTimeOff
• EmployeeEngagementActivities

JobPurpose

TheQualityAnalyst,InpatientCodingcollaborateswithinternalstaffinthedevelopmentofimprovedcapabilitiesintheareasofdocumentation,coding,andcompliance.TheQualityAnalyst,CodingwillassessandreviewtheoverallqualityofcodingonaccountscompletedbyMedicalCoders.TheQualityAnalyst,Coding,ensuresadherencetoworkflowsandethicalcoding.Thepositionrequiresadvancedknowledgeofprofessionalcoding(CPT,ICD-10-CMandHCPCS).

TheQualityAnalyst,InpatientCodingisresponsiblefordesigningandimplementingqualitycodingreviewprogramsandcommunicatingreviewfindingsandrecommendationstocodingmanagement.Thepositionobtainsstatisticsandtheinformationnecessarytoassessriskforallareasofcoding.

• Setsteamdirection,resolvesproblemsandprovidesguidancetomembersofownteam
• Lead,coach,recognizeanddevelopateamofEmployeesinallaspectsofthejobtomeetobjectivesandmaintaincompanyculture,polices,goalsandprocedures
• Dailymanagementofalloperationalprocessestoensurethatquality,efficiencyandproductivitystandards/targetsaremet
• Collaboratewithallworkgroupstoresolveissuesthatimpactinternalandexternalcustomers.
• Ensurethattheemployeesfollowtheirschedulesproperlyasdesigned.
• Strivefornewwaystoincreasetheopportunitiesofefficient,accurateworkassignments.
• Handlecomplaints,questions,andqueriesasnecessary.
• Documentinggeneralreportsoneachteammember’sperformanceandtargetsaswellasensuringthattheyexceedthetargets.
• Disseminateschangesinguidelinesandrules;monitorchangesinlaws,regulations,andpoliciesthatimpactclinicaldocumentation,reimbursementtoassurecompliance.
• Fosteranenvironmentofteamworkandserviceexcellencewithinthedepartment.
• Assistintheestablishmentof,implementationandmaintenanceofaformalizedreviewprocesstoensurecompliancewithcontractualagreementsregardingaccuracyrates.
• Assistinthecreation,monitoringandstandardizationofcompanypoliciesandprocedurestomonitorthesuccessofthedataqualitymanagementplan,reviewourandourclientsareasofrisk,investigateidentifiedissues,reportdataanalysesandtakeappropriatestepstocorrectanyviolations.MakerecommendationstoensurethehighestcomplianceratewiththeMed-Metrixqualitymanagementplan.
• Participateinconferencecalls/meetingswithmanagementandstafftoensureallperformanceandtrainingrecommendationsareaddressedandimprovementsuggestionsareimplemented.
• Knowledgeof,understandingof,andcompliancewithallMed-Metrixpoliciesandprocedures.
• Providefeedbacktomanagementconcerningpossibleproblemsorareasofneededimprovement.
• Use,protectanddisclosepatients’protectedhealthinformation(PHI)onlyinaccordancewithHealthInsurancePortabilityandAccountabilityAct(HIPAA)standards.

Qualifications

• Atleast3yearsofIPDRGCoding
• ProficientwithE/MandCPTProcedurecoding.
• Minimumofsix(6)monthsexperiencewithexceptionalperformanceinchosenareaofqualitymanagementMedicalCoding–demonstratedHIPAAknowledgerequired
• Abilitytoworkinateamfosteredenvironmentandhavethewillingnesstoadjusttochangingjobresponsibilities,shiftingschedules,newproceduresandunexpectedworkloadsandstresses.
• Possessstrongverbal,writtencommunication,interpersonalskillsandanalyticalskills
• Willingnessandflexibilitytoworkextendedhours.
• Assertiveself-starterwhocanworkindependently,yetfunctioninateamenvironment
• AnunderstandingandstrictadherencetoallHIPAAregulations

WorkingConditions

• WorkSet-Up:WorkFromHome
• WorkSchedule:Dayshift
• PhysicalDemands:Whileperformingthedutiesofthisjob,theemployeeisoccasionallyrequiredtomovearoundtheworkarea;Sit;performmanualtasks;operatetoolsandotherofficeequipmentsuchascomputer,computerperipheralsandtelephones;extendarms;kneel;talkandhear.
• MentalDemands:Theemployeemustbeabletofollowdirections,collaboratewithothers,andhandlestress.
• WorkEnvironment:Thenoiselevelintheworkenvironmentisusuallyminimal.

Med-Metrixwillnotdiscriminateagainstanyemployeeorapplicantforemploymentbecauseofrace,color,religion,sex(includingpregnancy,genderidentity,andsexualorientation),parentalstatus,nationalorigin,age,disability,geneticinformation(includingfamilymedicalhistory),politicalaffiliation,militaryservice,veteranstatus,othernon-meritbasedfactors,oranyothercharacteristicprotectedbyfederal,stateorlocallaw.