In-Patient Coding Quality Assurance Specialist
Nexus Recruitment GroupPasig, Philippines
Posted March 4, 2026
Full Time
About the Company
Nexus Recruitment Group is a leading recruitment consultancy that specializes in placing high‑potential talent across technology, finance, and healthcare sectors. Leveraging a data‑driven sourcing model and a proprietary AI‑powered matching platform, the firm delivers bespoke talent pipelines tailored to each client’s culture and performance needs. Its distinctive edge comes from a global network of industry specialists, a consultative partnership approach, and a strong commitment to diversity and inclusion. In addition to placement services, Nexus offers employer branding, workforce analytics, and talent‑development programs to help organisations build resilient, future‑ready teams.
Job Description
We are looking for a meticulous and experienced In-Patient Coding Quality Assurance (QA) Specialist to ensure the accuracy, consistency, and compliance of inpatient coding assignments.
Requirements
- Perform retrospective and concurrent audits of inpatient coded records to validate accuracy, completeness, and adherence to official coding guidelines.
- Provide detailed feedback and education to coding teams based on audit findings.
- Identify trends or recurring issues in coding accuracy and recommend corrective actions or training.
- Collaborate with internal teams to refine coding workflows and ensure documentation supports code assignments.
- Maintain audit logs, scorecards, and reporting metrics as required by internal and client guidelines.
- Stay current on inpatient coding updates, payer requirements, and regulatory changes (e.g., CMS, OIG).
- Assist with new coder onboarding QA reviews and periodic competency assessments.
Benefits
- Generous Paid Time Off
- 401k Matching
- Retirement Plan
