SDS Coding QA Supervisor – Lead Audit & Compliance

Med-Metrix; Pasig; On-site; PHP 558,000 - 781,200; Full time

Job summary

A healthcare quality firm in Pasig, Philippines is seeking an experienced Medical Coding QA Supervisor to lead their quality assurance team. The role requires specialized expertise in Same Day Surgery (SDS) coding, ensuring compliance with regulations, conducting audits, and improving coding accuracy. The ideal candidate has 5+ years of coding experience and relevant certifications like CPC or CCS.

Qualifications

• Minimum 5 years of medical coding experience, with at least 2 years in SDS & Observation.
• 2 years of supervisory or lead experience in QA or auditing role.
• Strong experience with CMS, NCCI edits, and coding guidelines.

Responsibilities

• Supervise daily operations of the coding QA team.
• Conduct internal audits for SDS coding accuracy.
• Develop and maintain coding QA policies and procedures.

Skills

In-depth knowledge of ICD-10-CM

Proficient with EHR and coding software

Analytical and problem-solving skills

Excellent communication and leadership abilities

Attention to detail and commitment to accuracy

Education

Associate or bachelor’s degree in health information management

CPC or CCS certification

Tools

EPIC

3M

Optum

Job description

A healthcare quality firm in Pasig, Philippines is seeking an experienced Medical Coding QA Supervisor to lead their quality assurance team. The role requires specialized expertise in Same Day Surgery (SDS) coding, ensuring compliance with regulations, conducting audits, and improving coding accuracy. The ideal candidate has 5+ years of coding experience and relevant certifications like CPC or CCS.