Job Description
Pay: ₱40,000.00 - ₱50,000.00 per month
Job Summary
The QA Specialist ensures accuracy, compliance, and integrity of hospital medical coding for inpatient and outpatient records. The role involves auditing coded encounters, validating DRG/APC assignments, and supporting coding teams through education and feedback.
Key Responsibilities
- 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 according to AHA Coding Clinic and CMS regulations.
- Ensure adherence to hospital policies, payer requirements, and regulatory standards. Maintain audit logs, scorecards, and reports.
- Provide detailed feedback to coders based on audit findings. Recommend educational topics and assist in coder training programs....
Apply for This Position
Ready to take the next step? Click the button below to submit your application.
Submit Application