Remote Quality Analyst – Inpatient Coding

Med-Metrix; Pasig; Sur place; PHP 600 000 - 900 000; Plein temps

Avantages offerts par ce poste

8-Hour Shifts

Fixed Weekends Off

HMO Day 1 with 2 dependents covered

Group Life Insurance

Medical Cash Allowance

Rice Allowance

Clothing Allowance

Holiday Gift

Bereavement Assistance

Free Lunch Daily

Paid Time Off

Training and Staff Development

Employee Engagement Activities

Internal Mobility Opportunities

Résumé du poste

Med-Metrix in the Philippines is seeking a Quality Analyst, Inpatient Coding to enhance documentation, coding accuracy, and compliance across accounts.

You will design and implement quality review programs for CPT, ICD-10-CM, and HCPCS coding, review coder performance, and report findings to coding leadership. This role requires HIPAA knowledge and strong analytical and communication skills.

Qualifications

• Graduate of medical or allied medical field or equivalent experience.
• Hold AAPC and/or AHIMA certification; CPMA is an advantage.
• At least 3 years of IP DRG Coding.
• Proficient with E/M and CPT coding.
• HIPAA knowledge required.
• Strong verbal and written communication and analytical skills.
• Ability to work in a team and adapt to changing responsibilities and schedules.
• Willingness to work extended hours.
• Assertive self-starter who can work independently, yet function in a team.
• Ability to plan and prioritize under pressure.

Responsabilités

• Set team direction and guide team members.
• Lead, coach, and develop a team to meet objectives and maintain culture.
• Administer the Quality Assessment process to meet standards.
• Daily management of operational processes to meet quality and productivity targets.
• Act as client contact for day-to-day issues and escalations.
• Review and analyze reports to meet client and company objectives.
• Collaborate with workgroups to resolve issues impacting customers.
• Reward and discipline employees and address complaints.
• Continuously seek development and improvement for the team.
• Ensure adherence to schedules and targets.
• Strive for efficient, accurate work assignments.
• Handle complaints and queries as necessary.
• Document performance and targets for team members.
• Monitor systems for optimal performance.
• Disseminate guideline changes and monitor regulatory updates.
• Foster teamwork and service excellence.
• Participate in performance improvement activities.
• Assist in establishing and maintaining review processes for accuracy rates.
• Assist in creating and standardizing policies to monitor risk and compliance.
• Participate in management calls to address recommendations.
• Assist in new hire training and refreshers.
• Adhere to HIPAA policies and procedures.
• Provide feedback to management on issues.
• Handle PHI in compliance with HIPAA.

Connaissances

IP DRG Coding

CPT Coding

E/M Coding

HIPAA Knowledge

Analytical Skills

Verbal Communication

Written Communication

Interpersonal Skills

Independent Working

Team Player

Formation

Medical or Allied Medical Degree

AAPC Certification

AHIMA Certification

CPMA (advantage)

Equivalent Work Experience

Description du poste

Med-Metrix in the Philippines is seeking a Quality Analyst, Inpatient Coding to enhance documentation, coding accuracy, and compliance across accounts.

You will design and implement quality review programs for CPT, ICD-10-CM, and HCPCS coding, review coder performance, and report findings to coding leadership. This role requires HIPAA knowledge and strong analytical and communication skills.