Job Description
Medical Coding Quality Assurance (QA) Specialist
3 days ago Be among the first 25 applicants
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.
Pay: ₱40,000.00 - ₱50,000.00 per month
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.
- Provi...
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