job description
Join John Clements as a Medical Coding Quality Manager and play a pivotal role in ensuring the highest standards of coding accuracy and compliance for our innovative Shared Services division. This is a unique opportunity to work remotely from Bali while contributing to a dynamic startup environment that values precision, education, and continuous improvement in healthcare documentation.
As the Coding Quality Manager, you will lead audit initiatives, mentor coding teams, and implement strategies to enhance coding practices across provider networks. Your expertise will directly impact operational efficiency, regulatory compliance, and revenue cycle integrity. If you are passionate about healthcare data quality and thrive in a collaborative, fast-paced setting, we want you on our team!
Why Apply?
- Work remotely from the stunning island of Bali while advancing your career.
- Competitive salary (₱160,000 – ₱175,000/month) with opportunities for growth.
- Be part of a mission-driven startup shaping the future of healthcare services.
- Collaborate with a global team of healthcare and technology professionals.
Responsibility
- Develop and execute comprehensive coding audit plans to ensure compliance with ICD-10, CPT, and HCPCS standards.
- Conduct regular reviews of medical records to identify coding inaccuracies, documentation gaps, and areas for improvement.
- Design and deliver targeted training programs for coders and healthcare providers to enhance coding accuracy and efficiency.
- Monitor key performance indicators (KPIs) related to coding quality, productivity, and denial rates.
- Collaborate with cross-functional teams to resolve coding discrepancies and implement corrective actions.
- Stay updated on industry regulations (e.g., CMS, AHA) and integrate changes into audit protocols.
- Generate detailed reports on audit findings and present recommendations to senior leadership.
- Foster a culture of continuous learning and best practices within the coding team.
Qualifications
- Bachelor’s degree in Health Information Management, Nursing, or a related field (or equivalent experience).
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar credential required.
- Minimum of 5 years of experience in medical coding, with at least 2 years in a quality/audit or managerial role.
- In-depth knowledge of medical terminology, anatomy, and coding guidelines (ICD-10, CPT, HCPCS).
- Proven ability to analyze data, identify trends, and develop actionable insights.
- Excellent communication skills to train staff and liaise with healthcare providers.
- Experience with electronic health records (EHR) and coding software (e.g., Epic, 3M).
- Strong leadership skills with a track record of mentoring teams in a remote or hybrid environment.