Senior Medical Coding Quality Analyst (WFH + 25 NIGHT DIFFERENTIAL + PHP10K SOB)

Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for an Senior Medical Coding Quality Analyst who will be working with Connext's Client in the United States of America.

What's in it for you

• Competitive compensation
• Perfect Attendance Bonus
• Life insurance
• HMO Insurance
• Great company culture
• Annual Merit Increase
• 25% Night Differential
• WFH - Company provided equipment
• Signing bonus Php 10,000

What is the job

The Senior Medical Coding Specialist is responsible for reviewing and auditing medical coding accuracy, documentation compliance, and coding quality across multiple healthcare specialties. The role validates ICD-10-CM, CPT, HCPCS, and modifier assignments against provider documentation, identifies coding deficiencies, prepares quality reports, and provides feedback to improve coding accuracy and compliance. This role serves as a coding subject matter expert supporting revenue cycle operations by ensuring coding practices meet payer, regulatory, and compliance requirements.

• Perform quality assurance audits of coded medical encounters across multiple specialties, including urgent care, primary care, behavioral health, wound care, podiatry, palliative care, and mobile imaging.

• Review provider documentation to validate appropriate ICD-10-CM, CPT, HCPCS Level II codes, modifiers, and E/M coding guidelines.

• Identify coding errors, including under-coding, over-coding, unbundling, and missed charge opportunities.

Required Qualifications:

• Active medical coding certification such as CPC (AAPC) or CCS (AHIMA).

• Minimum of five (5) years of medical coding experience.

• Experience in coding across multiple specialties, including several of the service lines listed above (Urgent Care, Podiatry, Wound Care/Advanced Wound Care, Primary Care, Palliative Care, Behavioral Health, and Mobile Imaging).

• Experience using AthenaOne (athenahealth) or similar EMR/practice management systems.

• Experience reviewing provider documentation and validating coding accuracy.

• Demonstrates strong understanding of appropriate medical charting and the link between documentation and code selection.

• Demonstrates strong knowledge of ICD-10-CM, CPT, HCPCS Level II, modifiers, E/M guidelines, and payer coding policies.