Supervisor, Quality Analysis (OP Coding, SDS)
Med-MetrixPasig, Philippines
Posted August 21, 2025
Full Time
About the Company
Med-Metrix is a leading provider of Revenue Cycle Management solutions for hospitals, health systems, and physician practices. Leveraging proprietary technology, advanced analytics, and a highly trained workforce, the company optimizes patient experience, billing accuracy, and revenue recovery. Its portfolio spans revenue cycle, business intelligence, managed care improvement, physician advisory, contract and denial recovery, and patient accounting services. Med-Metrix distinguishes itself through a culture of continuous learning—offering tailored training via Med-Metrix University—and a commitment to empowering employees to grow and excel in a collaborative environment.
Job Description
We are seeking a detail-oriented and experienced Medical Coding QA Supervisor with specialized expertise in Same Day Surgery (SDS) and Observation coding to lead our quality assurance team.
Requirements
- Supervise daily operations of the coding QA team, specifically SDS & Observation audits.
- Conduct internal audits to evaluate accuracy, consistency, and regulatory compliance in SDS coding, when needed.
- Monitor coding performance and quality metrics; provide actionable feedback to improve team effectiveness.
- Develop, implement, and maintain coding QA policies and procedures in collaboration with leadership.
- Collaborate with coding education staff to identify training needs and deliver targeted education based on audit findings.
- Act as a subject matter expert for SDS & Observation coding questions and escalated cases.
- Ensure coding practices align with federal guidelines, payer-specific policies, and organizational goals.
- Provide detailed reporting and analysis of audit results to leadership, identifying trends and risks.
- Maintain up-to-date knowledge of coding standards, CMS regulations, payer guidelines, and industry best practices.
- Participate in hiring, onboarding, and mentoring QA.
- Support coding projects, system upgrades, and other initiatives as assigned.
Benefits
- Competitive salary
- Comprehensive benefits package
- Opportunities for professional growth and development