Medical Coding Quality Assurance (QA) Specialist – Makati City, Manila, Philippines
ASPRCM Solutions Inc.
- Makati, PhilippinesMakati, Zuellig Building, 20th Floor, Philippines, Metro ManilaMakatiMetro ManilaPhilippinesPhilippines
- ₱30,000.00 - ₱50,000.00 / monthPHP300005000030000MONTH
- Full timeFULL_TIME
Posted 18 hours ago and deadline of application is on 30 Dec
Recruiter was hiring 18 hours ago
2025-12-04T07:20:48.088197+00:002025-12-30T18:30:00+00:00Job Description
ASP RCM Solutions Inc. – We’re Hiring!
Medical Coding Quality Assurance (QA) Specialist – Makati City, Manila, Philippines
Experience: Minimum 3–5 years hospital coding experience; 1–2 years in QA/auditing preferred
Salary Range: ₱40,000 – ₱50,000 (based on experience and skillset)
Location: Zuellig Building (20th Floor), Makati Avenue corner Paseo de Roxas, Makati City, Philippines
Work Mode: On-site (Work From Office)
Job Summary
The QA Specialist ensures accuracy, compliance, and integrity of hospital medical coding for inpatient and outpatient records. This role involves auditing coded encounters, validating DRG/APC assignments, and supporting coding teams through education and feedback.
Key Responsibilities
Audit & Review
Conduct retrospective and concurrent audits of hospital-coded records (inpatient, outpatient, day surgery).
Validate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes for accuracy and compliance with official guidelines.
Review DRG/APC assignments and sequencing claims according to AHA Coding Clinic and CMS regulations.
Compliance & Documentation
Ensure adherence to hospital policies, payer requirements, and regulatory standards.
Maintain audit logs and scorecards, and prepare reports for management.
Education & Feedback
Provide detailed feedback to coders based on audit findings.
Recommend educational topics and assist in coder training programs.
Collaboration
Work with Clinical Documentation Integrity (CDI) teams to resolve mismatched DRGs and improve documentation.
Participate in denial management and appeal processes for coding-related issues.
Continuous Improvement
Identify trends, risks, and recommend process improvements.
Stay updated on coding guidelines and reimbursement changes.
Certifications
CCS, CIC, CPC, CPMA or equivalent coding certification required.
Skills
Experience in hospital-based coding audits and denial management
Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, and DRG/APC assignment
Familiarity with EMR systems and coding tools (e.g., 3M, Optum, Meditech)
Excellent analytical and communication skills
Ability to interpret complex medical documentation and apply coding guidelines accurately
Why Join ASP RCM Solutions Inc.?
Competitive salary package
Stable and growing U.S.-based company
Professional development and skill-building opportunities
Collaborative and supportive work culture
Prime office location
Minimum Qualifications
ASP RCM Solutions Inc. – We’re Hiring!
Medical Coding Quality Assurance (QA) Specialist – Makati City, Manila, Philippines
Experience: Minimum 3–5 years hospital coding experience, 1–2 years in QA/auditing preferred.
Salary Range: ₱40,000 – ₱50,000 (based on experience & skillset)
Location: Zuellig Building, (20th Floor), Makati Avenue corner Paseo de
Roxas, Makati City Philippines
Work Mode: On-site (Work From Office)
Jobs Summary
- Job Level
- Associate / Supervisor
- Job Category
- Health and Medical
- Educational Requirement
- Bachelor's degree graduate
- Office Address
- Makati Avenue corner Paseo de Roxas, Makati City Philippines
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