205 Medical jobs in the Philippines

The Quality Analyst - Medical Coder role is a specialized position focused on ensuring the accuracy and compliance of medical coding processes, with an emphasis on Evaluation and Management (E&M) coding for outpatient, inpatient, observation, and critical care facilities. This role requires a strong foundation in medical coding standards, exceptional attention to detail, and the ability to work independently while maintaining high-quality standards. The position is based onsite in Taguig, operating on a morning shift schedule, and requires adaptability to meet regulatory requirements and deadlines.

Key responsibilities include performing audits to verify the accuracy of ICD-10, CPT-4, HCPCS, and Modifier assignments, as well as reviewing claims that have been denied or rejected due to coding, documentation, or clinical validation issues. You will prepare detailed reports for management review, identifying trends and providing actionable insights. The role involves conducting focused retrospective audits and regular scheduled audits of individual coders to ensure compliance and accuracy. You will also manage audits conducted by internal and external entities, responding to requests for code verification promptly and accurately.

In collaboration with Coding Supervisors and the Coding Manager, you will contribute to the development of educational and training opportunities for staff, enhancing the team’s coding proficiency and adherence to best practices. The role requires clear written and verbal communication to present audit results, provide feedback, and maintain positive relationships with internal and external teams and customers. You will need to work independently with minimal supervision, meet deadlines, and adapt to frequent changes in regulations while maintaining a high level of professionalism.

To succeed, candidates must have a bachelor’s degree in a life sciences field such as Physiotherapy, Pharmacy, Nursing, or Biosciences, with Anatomy or Physiology as a subject. A minimum of 3 years of experience in E&M inpatient and/or outpatient medical record review, coding, and reimbursement is required, with coding audit experience preferred. Candidates must hold a Certified Professional Coder (CPC) credential from the American Academy of Professional Coders (AAPC) or a Certified Coding Specialist (CCS) credential from the American Health Information Management Association (AHIMA) prior to hire. Additional certifications such as RHIA or RHIT are preferred but not mandatory.

Strong knowledge of ICD-10-CM/PCS and CPT coding, as well as prospective payment systems, is essential, along with proficiency in Microsoft Windows operating systems and Office applications (Word, Excel, PowerPoint). Candidates must demonstrate the ability to generate clear reports, work independently, and maintain productive relationships with stakeholders. Candidates should not have a history of frequent job changes (staying less than a year per company) and must be willing to work onsite in Taguig and attend an onsite assessment.

The Team Leader - Medical Coder role is a leadership position responsible for overseeing the day-to-day operations of a coding services team, ensuring high-quality performance, and maintaining compliance with medical coding standards. This role requires a blend of technical expertise in medical coding, strong people management skills, and the ability to drive process improvements while fostering productive relationships with internal and external stakeholders. The position is based onsite in Taguig and operates on a morning shift schedule, requiring adaptability to meet client requirements and regulatory changes.

Key responsibilities include managing the coding services team to achieve 100% productivity and quality as per client expectations. You will ensure optimal team utilization based on volume, attendance, and attrition, identifying performance gaps through analysis and implementing corrective solutions. The role involves facilitating process improvements, supporting the team by addressing complex coding cases, providing education, and answering questions. You will also interface with leadership to discuss coding trends, relay information from client calls to team members, and maintain an updated tracker for coding trends and changes.

Additional duties include conducting regular feedback sessions and one-on-one meetings with team members, providing coaching on common error scenarios, and performing reviews of claims denied or rejected for coding, documentation, or clinical validation issues. You will prepare detailed reports for management review, identifying trends and conducting focused retrospective audits as well as regular audits of individual coders to ensure accuracy and compliance.

To succeed, candidates must have a bachelor’s degree in a life sciences field such as Physiotherapy, Pharmacy, Nursing, or Biosciences, with Anatomy or Physiology as a subject. A minimum of 6 years of experience in a coding or auditing role, preferably in Evaluation and Management (E&M) coding for outpatient, inpatient, observation, or critical care facilities using ICD, Modifiers, CPT, and HCPCS codes, is required. Candidates must hold a Certified Professional Coder (CPC) credential from the American Academy of Professional Coders (AAPC) or a Certified Coding Specialist (CCS) credential from the American Health Information Management Association (AHIMA) prior to hire. Additional certifications such as RHIA or RHIT are preferred but not mandatory.

A minimum of 1 year of team-handling experience is essential, along with strong knowledge of ICD-10-CM/PCS and CPT coding, as well as prospective payment systems. Proficiency in Microsoft Windows operating systems and Office applications (Word, Excel, PowerPoint) is required. Candidates must demonstrate excellent communication skills, both written and verbal, and the ability to generate clear reports for management review. The role demands the ability to work independently with minimal supervision, meet deadlines, adapt to frequent regulatory changes, and maintain positive relationships with teams and customers. Candidates should not have a history of frequent job changes (staying less than a year per company) and must be willing to work onsite in Taguig and attend an onsite assessment.