Inpatient DRG Coding Auditor | Quality & Compliance

MicroSourcing; Taguig; Hybrid; PHP 700,000 - 900,000; Full time

Benefits offered by this job

Healthcare coverage on day one

Dependent coverage

Paid time off with cash conversion

Group life insurance

Performance bonuses

Hybrid work arrangement

Job summary

MicroSourcing is looking for a Medical Coding Auditor - Inpatient DRG to join our hybrid, day-shift team in the Philippines. You will conduct quality reviews of inpatient coders to ensure coding accuracy and provide targeted education based on audit findings to support continuous quality improvement.

You will audit, prepare detailed coding audit reports, monitor guideline compliance, and present concise findings to leadership.

Qualifications

• Bachelor's degree in an allied health field.
• Active CCS, CIC, or CDIP certification.
• Extensive knowledge of medical terminology and MS-DRG/APR-DRG assignment.
• Experience with POA, SOI, ROM, HACs and PSIs.
• Hands-on EMR experience (Epic, Cerner, Meditech).
• Excellent English communication (CEFR B2).

Responsibilities

• Audit inpatient medical coders and perform "audit the auditor" quality reviews to maintain a minimum coding accuracy rate of 95%.
• Perform comprehensive quality checks and calibration audits per SOPs.
• Prepare detailed coding audit reports and provide actionable feedback to coders and auditors.
• Monitor compliance with coding guidelines and initiate corrective actions before claims are resubmitted.
• Analyze audit data and present findings to operational leadership.
• Maintain expert knowledge of inpatient coding, ICD guidelines, and reimbursement methods.
• Communicate effectively with internal and external stakeholders via phone, email, and chat.

Education

Bachelor's degree in allied health field

Certified Coding Specialist (CCS)

Certified Inpatient Coder (CIC)

Certified Documentation Improvement Practitioner (CDIP)

Master's degree in Business, Healthcare, or related field

Tools

Epic

Cerner

Meditech

3M Solventum

Encoder Pro

Codify

Job description

MicroSourcing is looking for a Medical Coding Auditor - Inpatient DRG to join our hybrid, day-shift team in the Philippines. You will conduct quality reviews of inpatient coders to ensure coding accuracy and provide targeted education based on audit findings to support continuous quality improvement.

You will audit, prepare detailed coding audit reports, monitor guideline compliance, and present concise findings to leadership.