Senior Specialist - Inpatient (IP) Coding QA
r1rcm · Quezon City, Metro Manila - Remote ·
- Work mode
- Remote
- Seniority
- Senior
- Category
- QA
- Experience
- 5+ years
Reviews inpatient medical coding for accuracy and compliance, audits records, and provides feedback to coders using CMS guidelines and coding software like Epic or 3M 360.
As an Inpatient Coding Quality Reviewer, you will be responsible for conducting
internal quality audits focused on inpatient medical coding to ensure accuracy,
compliance, and adherence to official coding guidelines.
This role emphasizes identifying coding errors, improving coding efficiency, and
providing educational feedback to coders. You will collaborate with operations and
training teams to maintain high standards of coding quality and compliance with
payer policies and regulatory requirements
Qualifications:
- Minimum 5 years of inpatient medical coding experience, including exposure to multiple specialties.
- Holds at least one relevant certification: CCS, CIC
- Strong knowledge of CMS guidelines, MS-DRG/APR-DRG and Inpatient Prospective Payment System (IPPS).
- Proficiency with coding software such as Epic, Cerner, Meditech, and 3M 360.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits.
What’s in it for you?
• Competitive Total Rewards Package
• Target variable incentives
• Medical Plan (HMO) from Day 1 of employment with free dependents
• Life insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Night Differential offered
• Employee Referral Program
• All Mandatory Statutory Benefits
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, or any other characteristic protected by local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
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