Quality Auditing Analyst

Job Title: Hospital Medical Coding Quality Assurance (QA) Specialist

Location: Manila

Job Type: Full‑time

Experience: Minimum 3–5 years hospital coding experience,

1–2 years in QA/auditing preferred.

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 per AHA Coding Clinic and CMS regulations.

Compliance & Documentation

Ens...