Medical Coding Inpatient Auditor

Discover your 100% YOU with MicroSourcing!

Position: Medical Coding Inpatient Auditor
Location: Taguig
Work setup & shift: Onsite | Night shift

Why join MicroSourcing

Youu0027ll have:

• Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
• A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
• Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
• Career Growth: Take advantage of opportunities for continuous learning and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Your Role
As a Medical Coding Inpatient Auditor, you will:

• Audit inpatient coding performed by coders and/or auditors to ensure coding accuracy standards (95%) are met.
• Perform quality checks, calibration audits, and suggest process improvements for the team.
• Prepare audit reports, share direct feedback to coders and auditors on areas of opportunity, and participate in client interactions and internal stakeholder meetings.
• Monitor compliance with clinical documentation and coding guidelines ensure errors identified during audits are corrected and corrective actions initiated before claims are rebilled.
• Conduct analysis and present audit findings to leadership in a clear, concise, and actionable format.
• Maintain CEUs and stay updated on changes in inpatient coding and reimbursement guidelines.
• Identify and report coding and/or EMR workflow issues to supervisors.
• Maintain awareness of health record documentation ethics, escalating issues appropriately.
• Ensure adherence to federal, state, and local coding laws, regulations, and professional standards.
• Safeguard patient health information in compliance with HIPAA standards.
• Perform other duties and responsibilities as assigned.

What You NeedNon-negotiables

• Experience: Minimum 2 years inpatient coding auditing experience.
• Education: Bachelor of Science in allied health field.
• Credential/Certification: Active Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or Certified Documentation Improvement Practitioner (CDIP).
• RCM Knowledge: Proficient in medical terminology, anatomy & physiology, diagnostic/procedural coding, MS-DRG, APR DRG assignment, POA, SOI, ROM, HACs, PSIs. Knowledge of HIPAA regulations.
• Software Knowledge: Proficiency with EMR systems such as Epic, Cerner, or Meditech.
• Excellent verbal and written English communication skills (CEFR B2 minimum).

Preferred skills/expertise

• Master's degree or credential in business, healthcare, or related field.
• Registered Nurse (PHRN or USRN) license preferred.
• AHIMA microcredential: Auditing: Inpatient Coding (AIC) or AAPC CPMA (Certified Professional Medical Auditor).
• Experience with encoder/grouping software or Computer-Assisted Coding (CAC) such as 3M, Encoder Pro, or Codify.
• Proficiency with Microsoft Office suite (Excel, Word, PowerPoint, Outlook, SharePoint).
• Prior experience with US healthcare providers or payers.
• Strong attention to detail, follow-up, and follow-through skills.
• Ability to make independent judgments and complex decisions.
• Demonstrates teamwork, integrity, and professional communication.
• Strong analytical and critical thinking skills.
• Experience in a matrixed environment.
• Incorporates Huron's Vision and Values into work practices.

About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU
MicroSourcing firmly believes that our companyu0027s strength lies in our peopleu0027s diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan - itu0027s our commitment and our way of life. Here, we donu0027t just accept your unique authentic self-we celebrate it, valuing every individualu0027s contribution to our collective success and growth. Join us in celebrating YOU and your 100%!

For more information, visit www.microsourcing.com
Terms & conditions apply