Senior Specialist - Inpatient (IP) Coding QA

R1 RCM PHILIPPINES, INC.; Quezon City; On-site; PHP 600,000 - 900,000; Full time

Benefits offered by this job

Medical Plan (HMO) from Day 1

Life insurance

Paid Time-Off Benefits

Night Differential

Employee Referral Program

All Mandatory Statutory Benefits

Job summary

R1 RCM Philippines, Inc. invites an experienced Inpatient Coding Quality Reviewer to audit inpatient coding accuracy and compliance.

The role focuses on identifying coding errors, driving efficiency, and delivering educational feedback to coders across collaborative teams in a dynamic healthcare setting. Applicants should have 5+ years in inpatient coding, CCS or CIC certification, and strong CMS guideline knowledge, with proficiency in Epic, Cerner, Meditech, and 3M 360.

Qualifications

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

Responsibilities

• Conduct internal quality audits of inpatient coding for accuracy and compliance.
• Identify coding errors and recommend improvements to coding processes.
• Provide educational feedback to coders and collaborate with operations and training teams.
• Ensure adherence to payer policies and regulatory requirements.

Skills

Inpatient coding

Education

CCS Certification

CIC Certification

Tools

Epic

Cerner

Meditech

3M 360

Job description

As an Inpatient Coding Quality Reviewer, you will be responsible for conducting

internal quality audits focused on inpatient medical coding to ensure accuracy,

compliance, and adherence to official coding guidelines.

This role emphasizes identifying coding errors, improving coding efficiency, and

providing educational feedback to coders. You will collaborate with operations and

training teams to maintain high standards of coding quality and compliance with

payer policies and regulatory requirements

Qualifications:

• Minimum 5 years of inpatient medical coding experience, including exposure to multiple specialties.
• Holds at least one relevant certification: CCS, CIC
• Strong knowledge of CMS guidelines, MS-DRG/APR-DRG and Inpatient Prospective Payment System (IPPS).
• Proficiency with coding software such as Epic, Cerner, Meditech, and 3M 360.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits.

What’s in it for you?

• Competitive Total Rewards Package
• Target variable incentives
• Medical Plan (HMO) from Day 1 of employment with free dependents
• Life insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Night Differential offered
• Employee Referral Program
• All Mandatory Statutory Benefits

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, or any other characteristic protected by local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

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