Talent.com

Coding Jobs in Philippines

Create a job alert for this search

Coding • Philippines

Last updated: 16 hours ago

Medical Coding Quality Assurance (QA) Specialist

SnaphuntMakati, Philippines

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 assignm...Show more

Analyst II ERP Package Applications

PHET Enterprise Services (AP) Limited, Philippines Regional Operating HeadquartersTAGUIG CITY,PHL

Essential Job Functions:• Contribute to package software application development projects.Collaborate with the team on coding, testing, and maintenance tasks.Follow coding standards and best practi...Show more

Orthopedic Claim Scrubber & Medical Coder

Genesis Orthopedics & Sports MedicineMetro Manila, PH
Quick Apply

We are seeking a highly skilled Orthopedic Medical Coder and Claim Scrubber with direct EPIC EHR experience to join our growing revenue cycle team.This role is critical for ensuring clean claim sub...Show more

Medical Coder - Inpatient DRG (IPDRG)_Onsite_Dayshift_BGC_Up to 120K

weSource Management Consultancy FirmTaguig, Metro Manila, Philippines
Quick Apply

We are hiring for a Medical Coder - Inpatient DRG (IPDRG) for a client based in BGC, Taguig.This is an Onsite work following a Dayshift schedule.At least 2 years of Inpatient DRG Coding experience....Show more

Backend Developer

Questronix CorporationPasig, Metro Manila, PH
Quick Apply

Work with fellow engineers for code review.Contribute to all stages of development including designing, coding, reviewing, and testing.Collaborate with Lead Software Engineers, Testers, and SMEs to...Show more

Insurance Medical Billing Specialist

Boogie TeamManila, 00, ph

We are seeking an Insurance Medical Billing Specialist to manage the end-to-end medical billing process for healthcare services.This role is responsible for accurate claim submission, timely reimbu...Show more

 • New!

Automation Developer

Azeus Systems LimitedPasig, NCR, Philippines
Quick Apply

Join us in building reliable, intelligent, and future-ready software.We are looking for a Mid-Level Automation Developer with strong coding and scripting skills to build and maintain high-quality a...Show more

IP Medical Coding Auditor

HCM Nexus ConsultingMakati City, Metro Manila, Philippines

We are looking for a detail-oriented and knowledgeable.This role is vital in ensuring the accuracy, compliance, and quality of medical coding within our organization.The ideal candidate will have s...Show more

Senior Manager - Coding Denials, Hospital Billing

CLEVR PHQuezon City, Philippines

Establish and maintain trusted client relationships as the primary point of contact for coding denials and hospital billing services.Understand client challenges related to coding compliance and bi...Show more

Full Stack Software Engineers for AI Training

Lifted, an Upwork CompanyManila, Metro Manila, Philippines

You may contribute your expertise by:.Creating and answering technical questions about software engineering concepts and fullstack development, coding best practices, and debugging strategies to he...Show more

Medical Biller | Onsite - Up to 40K Salary

RecruitNest ConsultingTaguig, Metro Manila, Philippines
Quick Apply

Position Type: Experienced - Associate.Employment Type: Full-Time; Permanent (Direct Hire).Work Setup & Location: Onsite - McKinley, Taguig.Work Schedule: Weekdays; Night Shift.Headcounts Needed: 5...Show more

OASIS RN Quality Analyst (Home Health)

E-Teleconnect, Inc.Parañaque, Metro Manila, Philippines
Quick Apply

Clinical Supervisor/Nursing Supervisor.The OASIS QA Registered Nurse is responsible for reviewing and ensuring the accuracy, completeness, and compliance of OASIS-E1 documentation and associated cl...Show more

Outpatient Coding QA Auditor

Our ClientsQuezon City, Metro Manila, Philippines, Metro Manila, Philippines
Quick Apply

Role will conduct comprehensive quality audits across various medical coding specialties.This role is responsible for assessing coding accuracy, ensuring compliance with official coding guidelines,...Show more

Senior Medical Coder - Profee Coding, Healthcare

AOSP - ManilaManila, National Capital Region, PHL

The Finance Operations organization partners with teams across Amazon to deliver operations accounting and operational excellence services with a high standard of controllership while optimizing co...Show more

Medical Coding Quality Assurance (QA) Specialist

ASP-RCM SolutionsMakati, Philippines

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 assignm...Show more

Virtual Medical Biller/Coder

Petit PsychiatryMakati, Metro Manila, Philippines
Quick Apply

Psychiatry Wellness Center is looking for a Virtual Mental Health Medical Coder/Biller/Collections Specialist.We are looking for a top performer with previous experience and knowledge of billing, r...Show more

Automation Developer

Azeus ConvenePasig, Metro Manila, PH
Quick Apply

Join us in building reliable, intelligent, and future-ready software.We are looking for a Mid-Level Automation Developer with strong coding and scripting skills to build and maintain high-quality a...Show more

USRN Medical Coder (Hybrid)

Tasq Staffing Solutions, Inc.Iloilo City, Iloilo, PH
Quick Apply

Hybrid but work onsite frequency is still being deliberated.Night Shift, Shifting Schedule, No fixed weekends off.Valid USRN license (Mainland US only) - must be valid 6 months after the start date...Show more

Medical Coordinator (Coding, Billing & Operations)

TeamficientIloilo, ILI, ph

Medical Coordinator (Coding, Billing & Operations).At Teamficient, our team spans multiple countries and regions, and we stay connected by operating within EST, CST, and PST time zones.Collaborate ...Show more

This job offer is not available in your country.
Medical Coding Quality Assurance (QA) Specialist

Medical Coding Quality Assurance (QA) Specialist

SnaphuntMakati, Philippines
30+ days ago
Job description

Pay: ₱40,000.00 - ₱50,000.00 per month

Job description:.

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.
  • Collaborate with Clinical Documentation Integrity (CDI) teams to resolve mismatched DRGs and improve documentation.
  • Participate in denial management and appeal processes related to coding.
  • Identify trends, risks, and recommend process improvements. Stay updated on coding guidelines and reimbursement changes.

Qualifications

  • Minimum 3–5 years of hospital coding experience; 1–2 years in QA or auditing preferred.
  • Certifications: CCS, CIC, CPC, CPMA, or equivalent coding certification required.
  • Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, DRG/APC assignment.
  • Experience with hospital-based coding audits, denial management, and EMR systems (e.g., 3M, Optum, Meditech).
  • Excellent analytical, organizational, and communication skills.
  • Ability to interpret complex medical documentation and apply coding guidelines accurately.


Job Type: Full-time

Work Location: In person