482 Coding Specialist jobs in the Philippines

Medical Coding Specialist

₱40000 - ₱80000 Y DrHouse

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Job Description

About Us:

We are a growing telehealth company dedicated to delivering accessible, high-quality healthcare to

patients across the country. As part of our mission, we ensure that every visit is coded accurately for

insurance purposes, enabling smooth operations and timely reimbursements. We're now seeking a

skilled Medical Coding Specialist to join our team and play a vital role in our success.

Position Overview:

The Medical Coding Specialist will be responsible for accurately coding patient visits for insurance

purposes, specifically in the telehealth space. This role requires strong attention to detail, up-to-date

knowledge of medical coding standards, and excellent English communication skills for collaboration

with both the clinical and administrative teams.

Key Responsibilities:

  • Review telehealth visit documentation to assign accurate CPT, ICD-10, and HCPCS codes.
  • Ensure compliance with all federal, state, and payer-specific guidelines.
  • Work closely with providers to clarify documentation and coding requirements.
  • Submit accurate coding information for billing and insurance claims.
  • Stay current on telehealth coding changes, regulations, and best practices.

Qualifications:

  • Proven experience in medical coding, preferably in a telehealth setting.
  • Certification in medical coding (CPC, CCS, or equivalent) strongly preferred.
  • Strong knowledge of CPT, ICD-10, and HCPCS coding guidelines.
  • Excellent English communication skills (written and verbal).
  • High attention to detail, accuracy, and compliance standards.
  • Ability to work independently and meet deadlines.

What We Offer:

  • Full-time, remote position.
  • Competitive salary based on experience.
  • Opportunity to work with a mission-driven team in a fast-growing healthcare sector.
  • Professional growth and ongoing training in telehealth coding.
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Medical Coding Specialist

₱1200000 - ₱2400000 Y ACCPRO INTERNATIONAL

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Job Description

Inpatient Medical Coder (Quezon City – Onsite)

Location: Quezon City

Work Setup: Onsite

Work Shift: To be discussed

Salary Range: Base Pay + R1 Allowance + Clinical Allowance

About the Role

We are looking for a detail-oriented and certified Inpatient Medical Coder to join our growing healthcare team. This role is critical in ensuring accurate review, coding, and submission of inpatient medical records to support proper reimbursement and compliance with healthcare standards.

Key Responsibilities

  • Review patient medical records following hospital visits.
  • Identify missing or incomplete information and ensure accurate documentation.
  • Assign appropriate medical codes based on clinical documentation.
  • Prepare and submit claim forms to insurers for reimbursement.
  • Collaborate with healthcare providers to resolve documentation queries.

Qualifications

  • Must be willing to work onsite in Quezon City.
  • Active CIC or CCS certification is required.
  • Bachelor's degree in Nursing or a related allied health field (advanced degrees or certifications are an advantage).
  • Minimum of 2 years inpatient medical coding experience.
  • Strong attention to detail and working knowledge of coding systems.

What We Offer

  • Competitive Total Rewards Package
  • Target Variable Incentives
  • HMO Coverage from Day 1 (with free dependents)
  • Life Insurance Coverage
  • Paid Time-Off Benefits & Sick Leave Conversion
  • Night Differential Pay
  • Employee Referral Program
  • All Mandatory Statutory Benefits

Join us and play a vital role in ensuring accurate clinical documentation and supporting healthcare operations.

Job Type: Full-time

Application Question(s):

*

  1. Years of experience as Inpatient Medical Coder
  2. Do you have a Medical Coding License (CIC or CCS)?
  3. Are you a Registered Nurse?
  4. Amenable with the shift? (day shift)
  5. Amenable to work onsite?
  6. Amenable with the location (Cubao)
  7. Current Salary:
  8. Expected Salary:
  9. Reason for leaving current company:
  10. Availability to start:
  11. Availability for virtual interview:
  12. Active Viber number:
  13. Full name (First Name, Middle Name, Surname)

Work Location: In person

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Medical Coding Specialist

₱900000 - ₱1200000 Y Sourcefit Philippines, Inc.

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Job Description

Position Summary

TheMedical Coding Specialist ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately.

Job Details:

  • Work from Home
  • Monday to Friday | 7:00 PM to 4:00 AM Manila Time
  • *US Holidays will be followed

Responsibilities:

  • Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
  • Collect health information as documented by medical specialists and code them appropriately.
  • Consult medical specialists for further clarification and understanding of items on patient charts to avoid any misinterpretations.
  • Ensure that codes tally with doctors' diagnosis.
  • Evaluate and re-file appeals of patient claims that were denied.
  • Be updated about new coding rules as codes change from time to time.
  • Collect and distribute coding-related information and billing issues.
  • Provide accurate answers to queries on coding.
  • Other duties as assigned by management.

Qualifications:

  • Must have at least 3-5 years of billing and/or coding experience in a medical environment.
  • Comprehensive knowledge of insurance plans, member eligibility, insurance billing, and medical coding.
  • Strong background in both government and commercial payers.
  • Understanding of CPT, ICD-10, UB, HCFA, and 837 terminologies.
  • Excellent interpersonal and customer service skills.
  • Detail-oriented.
  • Strong problem-solving and research skills.
  • Excellent math, verbal, and communication skills.
  • Computer proficiency.
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Medical Coding Specialist

₱900000 - ₱1200000 Y NextSphere

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Job Description

ducation & Certification:

  • Bachelor's degree in Health Information Management, Nursing, Allied Health, or related field.
  • Mandatory certification in ICD-10, CPT, and/or HCPCS coding (CPC, CCS, CCA) from recognized international or local bodies.
  • Optional but highly valued: experience with Epic, Cerner, Meditech, or other EHR/EMR systems.

Experience:

  • 3–5+ years of hands-on experience in medical coding, billing, or health records management.
  • Prior exposure to specialized coding domains such as surgery, cardiology, oncology, or rehabilitation is preferred.

Skills & Competencies:

  • Advanced knowledge of ICD-10, CPT, HCPCS, DRG coding, and medical terminology.
  • Deep understanding of HIPAA compliance, regulatory requirements, and claims adjudication.
  • Strong analytical and critical-thinking abilities; able to audit clinical documentation for coding accuracy.
  • Effective communicator with clinical teams, insurance providers, and compliance officers.
  • Ability to train coders or provide guidance on complex coding scenarios.


Key Responsibilities – Medical Coding Specialist

1. Accurate and Compliant Coding

  • Assign and review ICD-10, CPT, and HCPCS codes for inpatient, outpatient, and physician services.
  • Ensure coding accuracy and adherence to payer and regulatory guidelines.
  • Conduct complex chart reviews for high-risk or specialty cases.

2. Clinical Documentation Improvement (CDI)

  • Identify gaps or inconsistencies in clinical documentation; recommend improvements to clinicians.
  • Work with medical teams to ensure all diagnoses and procedures are fully documented and supported for reimbursement.
  • Provide insights on the impact on the revenue cycle and compliance.

3. Billing and Claims Management

  • Collaborate with billing teams to submit accurate insurance claims, minimizing denials.
  • Investigate and resolve coding-related claim rejections or appeals.
  • Monitor claim status and ensure timely reconciliation.

4. Compliance and Audit

  • Ensure all coding activities comply with HIPAA, OSHA, and other regulatory requirements.
  • Prepare for internal and external audits by maintaining comprehensive coding documentation.
  • Conduct periodic coding audits to maintain accuracy and compliance benchmarks.

5. Data Analysis and Reporting

  • Generate performance reports, coding error metrics, and claim denial trends.
  • Provide insights to management on billing efficiencies, compliance risks, and revenue impact.

6. Training and Mentorship

  • Train, mentor, and oversee junior coders or interns.
  • Conduct workshops on updated coding rules, payer policies, and regulatory changes.

7. System Optimization

  • Collaborate with IT/EHR teams to optimize coding workflows within systems like Epic or Cerner.
  • Suggest enhancements for automation tools, coding templates, or AI-assisted coding systems.
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Medical Coding Specialist

₱132000 - ₱168000 Y Elevate and Delegate

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Job Description

Job Overview:

The Medical Coding Specialist will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-9-CM), and the American Medical Association's Current Procedural Terminology Manual (CPT). The Specialist will also provide technical guidance and training on medical coding to physicians and staff.

Key Responsibilities:

  • Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines.
  • Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes.
  • Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial.
  • Evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees.
  • Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and updates procedures manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery.
  • Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
  • Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
  • Educates and advises staff on proper code selection, documentation, procedures, and requirements.
  • Identifies training needs, prepares training materials, and conducts training for physicians and support staff to improve skills in the collection and coding of quality health data.
Requirements
  • Knowledge of ICD-10-CM and CPT coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage.
  • Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.
  • Ability to read and interpret medical procedures and terminology.
  • Ability to develop training materials, make group presentations, and to train staff
  • Ability to exercise independent judgment;
  • Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff.
  • Ability to maintain confidentiality.

Education and Experience:

  • Possession of an Accredited Record Technician's certification (ART) or Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association
  • Two years of experience in medical record coding required

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift up to 15 pounds at times.
Benefits
  • Client Relationship : You will be directly working with the client. This means that you will communicate with the client, provide services, and address any client-related matters independently.
  • Payments : All payments for your services will be handled by the client. Elevate and Delegate is not involved in processing your payroll. Your salary will directly go to you.
  • Vacation Leaves and Holidays : While we may have recommendations or guidelines regarding vacation leaves and holidays, the decision is entirely at the discretion of the client. You are expected to align your schedule with the client's business needs and any specific policies or preferences they may have in this regard.

Salary : $1100 - $1400 per month

Timezone: Flexible working hours

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Intake Data Entry & Coding Specialist - PH 09062025

₱480000 - ₱1040000 Y HireHawk

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Job Description

Job Title: Intake Data Entry & Coding Specialist

Job Type: Independent Contractor

Workplace: Remote

Schedule: Full-time, aligned with U.S. business hours (PST coverage required, occasional Saturdays)

Compensation: USD $1000 – $,300/month (DOE)

About HireHawk

At Hirehawk, we connect top global talent with high-performing U.S. companies. Our focus is on finding exceptional professionals who bring both expertise and drive to every role. We're passionate about helping candidates grow their careers while supporting our clients with reliable, remote-ready talent that makes an impact from day one.

About the Job

We're seeking a detail-driven Intake Data Entry & Coding Specialist to join a fast-growing personal injury law firm. In this role, you'll be responsible for accurately entering intake data, applying standardized coding procedures, and maintaining reliable records that support case preparation. Success in this position requires consistency, focus, and an unwavering commitment to accuracy. You will play a critical role in ensuring client records are complete, compliant, and ready for legal action—all while operating in a supportive, remote-first environment.

Requirements
Core Responsibilities
  • Enter, validate, and maintain intake information in the firm's case management systems with accuracy and speed.
  • Apply coding standards to classify and organize case data consistently.
  • Review and audit records regularly, correcting errors to uphold accuracy benchmarks.
  • Organize and update electronic files to ensure accessibility and compliance with firm protocols.
  • Communicate with intake and case management teams to clarify missing or unclear information.
  • Safeguard confidential client data in alignment with privacy and compliance requirements.
  • Generate intake reports and extract data to support attorney and case manager needs.
  • Suggest process improvements that enhance intake speed, accuracy, and reliability.
Must-Haves for the Role
  • 2+ years of professional experience in data entry, coding, or intake coordination.
  • Proven ability to use databases, spreadsheets, or case management systems effectively.
  • High attention to detail with the ability to maintain accuracy under deadlines.
  • Strong English communication skills (written and verbal).
  • Demonstrated ability to handle confidential information with discretion.
  • Stable wired internet connection with a tested backup option to ensure reliability.
  • Full availability to work U.S. business hours in Pacific Standard Time (PST), with occasional Saturday coverage.
Nice-to-Haves for the Role
  • Prior experience in legal or medical intake processes (e.g., PI claims, ICD/CPT familiarity).
  • Intermediate to advanced Excel or Google Sheets proficiency (e.g., formulas, pivot tables).
  • Experience working in a high-volume, distributed remote team.

Conversational Spanish or bilingual proficiency to support LATAM-based clients.

Benefits
Compensation & Benefits
  • USD $1 000 – $1 300/month (DOE)
  • Access to a 200k+ perk marketplace with instant discounts on 150+ services
  • Access up to 50% of approved earnings before payday (no credit checks or fees)
  • On-time, in-currency pay
What Happens After You Apply?
  • Instant AI interview link (~20 min)

    After submission, and if selected, we'll immediately send you a link to be interviewed with our AI recruiter. This required step allows us to learn more about you and what makes you a top candidate.
  • Interview with a HireHawk Recruiter

    Our recruiters will assess your interview. If you're a potential fit, we'll coordinate a live interview with you.

The AI interview is mandatory, and those who finish ASAP are more likely to be hired.

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Inpatient Coding Specialist

₱504000 - ₱648000 Y ACCPRO INTERNATIONAL

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Job Description

Inpatient Coding Specialist

Location: Quezon City or BGC

Work Setup: Onsite OR Work From Home

Work Shift: Dayshift

Role Overview

We are looking for skilled Inpatient Medical Coders to join our growing healthcare team. You will be responsible for reviewing patient medical records, identifying missing or inaccurate information, and ensuring proper coding for reimbursement. This role is critical in maintaining data accuracy and supporting seamless claims processing.

Key Responsibilities

  • Review and analyze patient medical records after hospital visits
  • Ensure accuracy and completeness of clinical documentation
  • Identify missing information and provide timely resolution
  • Submit claims and coding forms to insurers for reimbursement

Qualifications

  • Active CIC or CCS certification
  • Bachelor's degree in Nursing or other allied medical courses (advanced degrees or certifications are a plus)
  • Minimum 1 year and 6 months of Inpatient Medical Coding experience
  • Strong attention to detail and ability to maintain accuracy under tight deadlines

Benefits Offered

  • Competitive Total Rewards Package
  • Target Variable Incentives
  • HMO Coverage on Day 1 (with free dependents)
  • Life Insurance
  • Paid Time-Off & Sick Leave Conversion
  • Night Differential Pay
  • Employee Referral Program
  • All Mandatory Statutory Benefits

Apply Now Submit your CV and join a company that values your expertise while supporting your career growth in medical coding.

Job Type: Full-time

Pay: Php42, Php54,000.00 per month

Benefits:

  • Work from home

Application Question(s):

    1. Years of experience as Inpatient Medical Coder
  • Do you have a Medical Coding License (CIC or CCS)?

  • Are you a Registered Nurse?
  • Amenable with the shift? (day shift)
  • Amenable to work onsite?
  • Amenable with the location (Cubao)
  • Current Salary:
  • Expected Salary:
  • Reason for leaving current company:
  • Availability to start:
  • Availability for virtual interview:
  • Active Viber number:
  • Full name (First Name, Middle Name, Surname)

Work Location: Remote

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Inpatient Coding Specialist

Quezon, Quezon BPO Seats

Posted 3 days ago

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Job Description

About the Role

We are seeking an experienced Inpatient Coding Specialist to join our growing team. This role focuses on complex inpatient surgical cases including trauma, transplants, cardiology, orthopedics, and neurosurgery making it an excellent opportunity for coders who want to apply their expertise in a challenging and rewarding environment.

As a key member of our coding team, you will ensure coding accuracy, compliance, and optimal reimbursement, while collaborating with physicians and CDI specialists to strengthen documentation and support high-quality patient care.



Key Responsibilities

Accurately assign ICD-10-CM and ICD-10-PCS codes for inpatient surgical procedures and diagnoses.

Perform DRG and APR-DRG assignment in alignment with regulations and hospital policies.

Review clinical documentation, identify gaps, and query providers to ensure completeness and accuracy.

Partner with physicians, CDI, and revenue cycle teams to maintain strong documentation standards.

Conduct audits and provide feedback to enhance coding practices and optimize revenue outcomes.

Maintain productivity and accuracy levels consistent with organizational benchmarks.

Keep up-to-date with coding guidelines, payer rules, and regulatory changes.



Qualifications

Certification(s): CCS, CIC, CPC, COC, RHIA, or other recognized AAPC/AHIMA credentials.

Experience: Minimum 5 years of inpatient coding experience, with strong emphasis on surgical specialties.

Proficiency in coding for orthopedics, cardiology, neurosurgery, trauma, transplants, and general surgery.

Strong background in DRG/APR-DRG assignment, CDI collaboration, and coding compliance.

Proficiency with Epic or similar EMR/coding platforms.

Excellent knowledge of anatomy, physiology, and disease processes.

Strong analytical, problem-solving, and communication skills.



Why Join Us?

We value and invest in the expertise of our coders.



Compensation & Benefits:

Competitive salary: PHP 150,000/month

Performance bonuses and annual merit increases

HMO coverage (with dependent coverage after regularization)

Paid time off (vacation, sick leave, and holidays)

Certification renewal and training support

Clear career pathways into auditing, CDI, or leadership roles

Wellness perks including employee assistance, mental health resources, and wellness allowances

A collaborative and supportive work environment



Schedule & Work Environment

On-site position in a hospital-based setting

Flexible scheduling options to promote work-life balance
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Clinical Coding Specialist

Quezon, Quezon BPO Seats

Posted 3 days ago

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Job Description

About the Role

We are seeking a highly skilled Clinical Coding Specialist with deep expertise in inpatient surgical coding to join our team. This is an excellent opportunity to work on some of the most complex and rewarding inpatient cases, including trauma, transplants, cardiology, and advanced surgical specialties.

As part of our coding team, you will ensure accuracy, compliance, and optimal reimbursement while collaborating closely with providers and CDI specialists. Your expertise will directly support both clinical excellence and revenue integrity in a dynamic healthcare environment.



Key Responsibilities

Assign accurate ICD-10-CM and ICD-10-PCS codes for inpatient surgical diagnoses and procedures.

Perform DRG and APR-DRG assignment in compliance with hospital, state, and federal regulations.

Review detailed inpatient documentation, identify gaps, and query providers as needed.

Partner with physicians, CDI, and revenue cycle teams to ensure complete and compliant clinical documentation.

Conduct audits and quality reviews, sharing feedback to enhance coding standards.

Meet or exceed organizational benchmarks for accuracy and productivity.

Stay updated with coding guidelines, payer requirements, and regulatory changes.



Qualifications

Certification(s): CCS, CIC, CPC, COC, RHIA, or other AAPC/AHIMA-recognized credentials.

Experience: 5+ years of inpatient coding experience, preferably with a strong focus on surgical specialties.

Skilled in coding for Orthopedics, Cardiology, Neurosurgery, Transplants, Trauma, and General Surgery.

Demonstrated expertise in DRG/APR-DRG assignment, CDI collaboration, and hospital coding compliance.

Proficiency with Epic or similar EMR/coding platforms.

Strong knowledge of anatomy, physiology, and disease processes.

Excellent analytical, problem-solving, and communication skills.



Preferred Background:

Coding experience in Level 1 trauma centers, teaching hospitals, or large academic medical centers.

Prior experience in auditing, provider education, or coding leadership/QA roles.



Compensation & Benefits:

Competitive pay: PHP 150,000/month

Performance incentives and annual merit increases

HMO coverage (employee + dependents after regularization)

Paid time off (vacation, sick leave, and holidays)

Continuous education support (certification renewals, training, and workshops)

Career advancement opportunities (auditing, CDI, leadership tracks)

Wellness programs – employee assistance, mental health support, and wellness allowances

Supportive, collaborative work culture



Schedule & Work Environment

On-site role in a professional hospital-based setting

Flexible scheduling options to promote work-life balance
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Outpatient Coding Specialist

Quezon, Quezon BPO Seats

Posted 3 days ago

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Job Description

About the Role

We are looking for an experienced Outpatient Coding Specialist to join our growing team. In this role, you will code a wide variety of outpatient encounters—including Emergency Department, Observation, Same Day Surgery, Ancillary, and Clinic services—ensuring accuracy, compliance, and revenue integrity.

This is a fantastic opportunity for coders who enjoy diverse case exposure and want to build their expertise across multiple outpatient specialties, while having a pathway into auditing, education, or leadership roles.



Key Responsibilities

Assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient services across multiple specialties.

Review provider and clinical documentation to validate coding accuracy and compliance with payer, CMS, and facility guidelines.

Ensure proper sequencing, modifier use, and compliance with regulatory requirements.

Perform quality checks and audits, identifying documentation gaps and supporting providers to improve completeness.

Collaborate with revenue cycle, compliance, and clinical teams to optimize reimbursement and minimize denials.

Consistently meet productivity and accuracy benchmarks in line with organizational standards.

Stay current with coding updates, payer rules, and industry regulations.



Qualifications

Certification(s): CPC, COC, CCS, or other AAPC/AHIMA-recognized credentials.

Experience: 3–5+ years of outpatient coding experience.

Strong background in multiple outpatient areas (e.g., Emergency Department, Observation, Same Day Surgery, Ancillary, and Specialty Clinics).

Familiarity with Epic or similar EMR/coding platforms.

Strong knowledge of anatomy, physiology, medical terminology, and outpatient procedures.

Excellent attention to detail, problem-solving skills, and ability to work both independently and collaboratively.



Preferred Background:

Experience in both facility and professional fee (pro-fee) coding.

Multi-specialty exposure including Orthopedics, GI, OBGYN, Cardiology, or ENT.



Why Join Us?

We invest in our coders and provide the environment for long-term career growth.



Compensation & Benefits:

Competitive salary: PHP 150,000/month

Performance incentives and annual merit increases

HMO coverage (employee + dependents after regularization)

Paid time off (vacation, sick leave, and holidays)

Training and certification renewal support

Career pathways into auditing, CDI, QA, or leadership roles

Wellness programs including employee assistance, wellness allowances, and mental health support

A collaborative and supportive team culture



Schedule & Work Environment

On-site role in a professional healthcare environment

Flexible scheduling options to support work-life balance
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