Medical Coding QA Supervisor

About Lennor Group

As a proud Filipino company, we are committed to providing world-class business and workforce solutions. Our deep market expertise, combined with a global perspective, empowers us to serve businesses of all sizes and industries efficiently.

Our brand, Lennor Metier, is a leading recruitment agency and headhunting firm in the Philippines, partnering with reputable companies to source top talent for direct-hire opportunities. It specializes in IT, Finance, Engineering, Sales & Marketing, Supply Chain, HR, and Executive Search.

Industry: Lennor Metier, recruiting on behalf of a Healthcare BPO company

Salary Range: Up to ₱65,000

Work Setup: Work from Home

Shift Schedule: Day Shift

Location: Remote

Job Overview

We are looking for an experienced and detail-driven Medical Coding QA Supervisor with a background in Same Day Surgery (SDS) and Observation coding to lead our medical coding quality team. This role plays a key part in ensuring coding accuracy, regulatory compliance, and ongoing team performance improvement. The ideal candidate will bring deep coding expertise, leadership capability, and a proactive approach to quality management.

Your Responsibilities

• Oversee day-to-day activities of the coding QA team, with a specific focus on audits for SDS and Observation services.
• Conduct spot checks or in-depth reviews when necessary to evaluate coding accuracy and consistency.
• Track and assess team performance using established QA metrics; provide feedback and corrective guidance to maintain coding standards.
• Develop and refine internal QA protocols, audit methodologies, and documentation procedures in line with organizational and industry standards.
• Work with training and education teams to identify learning gaps and facilitate ongoing coder development.
• Serve as the subject matter expert (SME) for SDS and Observation-related coding issues, offering support on escalations and complex cases.
• Ensure all coding activities are aligned with federal regulations, CMS guidelines, payer-specific rules, and internal policies.
• Prepare clear, data-driven audit reports and trend analyses for leadership to support strategic quality initiatives.
• Stay current on updates in coding standards, payer guidelines, CMS regulations, and compliance requirements.
• Assist in recruitment, onboarding, coaching, and performance evaluations of QA staff.
• Provide QA support on special coding projects, workflow transitions, or technology implementations.
  
  

What Our Client Is Looking For

Education & Certification

• Associate or Bachelor’s degree in Health Information Management, Health Sciences, or a related field (preferred).
• Active coding certification required: CPC, CCS, or an equivalent credential.
• CPMA certification is a plus.
  
  

Experience

• At least 5 years of hands-on coding experience, including a minimum of 2 years focused on SDS and Observation services.
• Minimum 2 years in a QA lead, supervisory, or auditing role.
• Familiarity with CMS guidelines, NCCI edits, and payer-specific coding policies.
• Experience with IVR systems is a bonus.
  
  

Technical Skills

• Proficient in ICD-10-CM, CPT, and HCPCS Level II coding systems.
• Skilled in using EHR and coding platforms (e.g., Epic, 3M, Optum).
• Strong analytical, documentation, and problem-solving capabilities.
  
  

Ready to take the next step in your career? Submit your application now!

• We kindly request your patience as we receive a significant number of applications. Rest assured that our team will update your application's status soon. In the meantime, we encourage you to follow our LinkedIn page to stay informed about future opportunities and company updates.