Senior Inpatient Coding Quality Auditor

R1 RCM Philippines Inc; Quezon City; Hybrid; PHP 700,000 - 1,050,000; Full time

Job summary

R1 RCM Philippines Inc is seeking an Inpatient Coding Quality Reviewer to conduct internal quality audits of inpatient medical coding, ensuring accuracy and adherence to official guidelines. You will identify coding errors and provide constructive feedback to coders to improve performance.

You will collaborate with operations and training teams to sustain high coding quality, align with payer policies and regulatory requirements, and contribute to ongoing educational initiatives within our

Qualifications

• Minimum 5 years of inpatient medical coding experience.
• Certification in CCS or CIC is required.
• Strong knowledge of CMS guidelines, MS-DRG/APR-DRG and IPPS.

Responsibilities

• Conduct internal quality audits focused on inpatient medical coding to ensure accuracy and compliance.
• Identify coding errors and provide educational feedback to coders.
• Collaborate with operations and training teams to maintain high standards of coding quality and payer/regulatory adherence.

Skills

Inpatient coding experience

CMS guidelines knowledge

Coding software proficiency

Education

CCS certification

CIC certification

Tools

Epic

Cerner

Meditech

3M 360

Job description

R1 RCM Philippines Inc is seeking an Inpatient Coding Quality Reviewer to conduct internal quality audits of inpatient medical coding, ensuring accuracy and adherence to official guidelines. You will identify coding errors and provide constructive feedback to coders to improve performance.

You will collaborate with operations and training teams to sustain high coding quality, align with payer policies and regulatory requirements, and contribute to ongoing educational initiatives within our