Medical Coding Auditor - Inpatient DRG

MicroSourcing; Taguig; On-site; PHP 600,000 - 1,000,000; Full time

Benefits offered by this job

Competitive rewards

Healthcare coverage from day one

Dependent coverage

Paid time off with cash conversion

Group life insurance

Performance bonuses

Collaborative culture

Work-life harmony

Career growth

Inclusive team

Job summary

MicroSourcing invites a Medical Coding Auditor – Inpatient DRG to join onsite at BGC, Taguig City. You will conduct quality reviews of inpatient coders and provide coaching to support continuous quality improvement.

The role requires at least 2 years in inpatient DRG auditing, a relevant allied health degree, and CCS/CIC/CDIP certification. Proficiency with MS-DRG, POA/SOI/ROM, and EMR systems (Epic/Cerner/Meditech) is essential, along with excellent English communication.

Qualifications

• At least 2 years of progressive inpatient DRG coding auditing experience.
• Bachelor's degree in Nursing, Health Information Management, or allied field.
• Active CCS, CIC, or CDIP certification.
• Extensive knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding, and MS-DRG/APR-DRG assignment.
• Proven proficiency in identifying POA, SOI, ROM, HACs, and PSIs.
• Hands-on experience using EMR systems such as Epic, Cerner, or Meditech.
• Excellent verbal and written English communication skills (CEFR B2 level).

Responsibilities

• Audit inpatient coders and perform specialized "audit the auditor" quality reviews to maintain a minimum coding accuracy rate of 95%.
• Perform comprehensive quality checks, SOP-based audits, and calibration audits.
• Prepare detailed coding audit reports and provide actionable feedback to coders and auditors.
• Monitor compliance with coding guidelines, correct identified errors, and initiate corrective actions before claims submission.
• Analyze audit data and present concise summaries of findings to leadership.

Skills

Inpatient DRG auditing

EMR systems

English communication (CEFR B2)

Data analysis

SOP compliance

Education

Bachelor's degree in allied health

Tools

3M/Solventum

Encoder Pro

Codify

Epic

Cerner

Meditech

Job description

Discover your 100% YOU with MicroSourcing!

Position

Medical Coding Auditor – Inpatient DRG

Location

BGC, Taguig City

Work setup & shift

Onsite, Day shift

Benefits

• 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 Auditor – Inpatient DRG, you will be responsible for conducting quality reviews and audits of inpatient coders to ensure coding accuracy standards are consistently met. You will also provide targeted education and coaching based on audit findings to support continuous quality improvement.

Specifically, You Will

• Audit inpatient medical coders and perform specialized "audit the auditor" quality reviews to maintain a minimum coding accuracy rate of 95%.
• Perform comprehensive quality checks, audit visits in accordance with standard operating procedures (SOPs), and calibration audits.
• Prepare detailed coding audit reports and provide clear, actionable feedback to coders and auditors.
• Monitor compliance with coding guidelines, ensure identified errors are corrected, and initiate corrective actions before claims are resubmitted to insurance providers.
• Analyze audit data and present concise summaries of findings and workflow issues to operational leadership.
• Maintain expert knowledge of inpatient coding, clinical documentation guidelines, and reimbursement methodologies.
• Communicate effectively with internal and external stakeholders through phone, email, and instant messaging.

What You Need

Non-negotiables

• At least 2 years of progressive experience in inpatient DRG coding auditing.
• Bachelor's degree in an allied health field (e.g., Nursing, Health Information Management, or equivalent).
• Active certification as a Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or Certified Documentation Improvement Practitioner (CDIP).
• Extensive knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding, and MS-DRG/APR-DRG assignment.
• Proven proficiency in identifying POA (Present on Admission), SOI (Severity of Illness), ROM (Risk of Mortality), HACs (Hospital-Acquired Conditions), and PSIs (Patient Safety Indicators).
• Hands-on experience using electronic medical record (EMR) systems such as Epic, Cerner, or Meditech.
• Excellent verbal and written English communication skills (minimum CEFR B2 level).

Preferred Skills/expertise

• Master's degree in Business, Healthcare, or a related field.
• Active PHRN or USRN license.
• AHIMA Auditing: Inpatient Coding (AIC) micro-credential or AAPC Certified Professional Medical Auditor (CPMA) certification.
• Experience supporting US healthcare providers or payers with a strong understanding of HIPAA standards.
• Experience using Computer Assisted Coding (CAC) platforms and encoder software such as 3M/Solventum, Encoder Pro, or Codify.
• Advanced Microsoft Office skills, particularly Excel, PowerPoint, and SharePoint.

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 believes our greatest strength is our people. We foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We value diverse perspectives and create opportunities for everyone to thrive.

At MicroSourcing, equality is more than a statement—it's our commitment. We don't just accept your authentic self; we celebrate it and recognize every individual's contribution to our shared success.

For more information, visit https://www.microsourcing.com/

Terms & conditions apply.