Medical Coding Quality Assurance (QA) Specialist

At ASP RCM Solutions Pvt LTD, a leading healthcare revenue cycle management company, we are committed to delivering excellence in medical coding accuracy and compliance. We’re looking for a detail-oriented Medical Coding Quality Assurance (QA) Specialist to join our dynamic team in Makati City, NCR, Philippines. This full-time, on-site position offers a unique opportunity to contribute directly to improving patient care standards and clinic operational efficiency through precise coding quality control. As part of our team, you will engage in continuous professional growth and career development, working alongside experienced healthcare professionals and coding analysts. We value integrity, precision, and a collaborative spirit. If you are passionate about healthcare compliance and quality assurance, this role offers a rewarding path with competitive compensation and comprehensive benefits. Key Responsibilities Review medical coding entries for accuracy and compliance with ICD-10-CM coding guidelines to ensure error-free documentation. Conduct regular audits of coded data, identifying discrepancies and recommending actionable improvements to coding processes. Collaborate closely with coding specialists and healthcare practitioners to resolve coding issues and provide constructive feedback. Develop and implement robust quality assurance protocols that enhance coding accuracy and reduce claim denials. Prepare detailed, data-driven reports on coding compliance trends and identify areas requiring additional training or process refinement. Stay updated with the latest changes in coding regulations and standards, ensuring timely integration into daily coding practices. Participate actively in team meetings to discuss quality metrics, share insights, and devise strategies for continuous improvement. What We're Looking For Required: Bachelor's Degree in Health Information Management or a related healthcare field. Proficiency and hands-on experience with ICD-10-CM coding standards. Strong attention to detail with excellent analytical and problem-solving skills. Experience using medical coding software and tools to manage and audit coding data. Preferred: Previous medical coding experience in a healthcare or revenue cycle management setting. Certification as a Certified Professional Coder (CPC) or equivalent credential. Excellent communication skills to effectively collaborate with multidisciplinary teams. Demonstrated ability to adapt to regulatory changes and implement best practices. What We Offer Competitive monthly salary aligned with industry standards in the Philippines. Health insurance coverage to support your well-being. Paid time off to maintain a healthy work-life balance. Retirement plan options for your long-term financial security. Professional development opportunities including training and certification support. A collaborative, supportive work environment fostering career advancement. Frequently Asked Questions What is the typical career path for a Medical Coding QA Specialist? Many professionals advance to senior quality assurance roles, coding management, or healthcare compliance positions, supported by ongoing training and certifications. Is prior experience with ICD-10-CM mandatory? Yes, proficiency in ICD-10-CM coding standards is required to ensure accurate review and compliance. Does this role offer remote work options? No, this position is on-site at our Makati City office to facilitate close collaboration with healthcare and coding teams. What software tools will I use? You will work with industry-standard medical coding and auditing software; training will be provided for proprietary tools. Are there opportunities for professional certification support? Yes, ASP RCM Solutions supports employees pursuing certifications such as CPC to enhance their expertise and career growth. How does this role impact patient care? Accurate medical coding ensures proper documentation and billing, directly affecting patient car