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Home Health Medical Coding QA Specialist

Company

Pointwest

Location

Quezon City, Philippines

Type

Contract

We are looking for a detail-oriented Quality Control for Coding Specialist to ensure the accuracy, compliance, and consistency of medical coding and billing practices. This role plays a vital part in maintaining the integrity of health data and optimizing the revenue cycle by implementing internal audits, reviews, feedback processes, and continuous improvement initiatives. You’ll be part of a team committed to Leadership, Excellence, Innovation, and a culture of Agility, Accountability, Collaboration, and Customer Centricity.

Key Responsibilities

Delighting Our Customers & Stakeholders

  • Ensure coding accuracy using ICD-10, CPT, and applicable guidelines

  • Perform internal audits and peer reviews

  • Validate clinical documentation supports coded entries

  • Enforce compliance with HIPAA and payer requirements

  • Growing Our Business

  • Reduce coding-related denials and rejections

  • Support revenue cy...

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