Quality Auditor – Medical Coding (BPO | EPIC | ED & Surgical Coding)

Job Title: Quality Auditor – Medical Coding (BPO | EPIC | ED & Surgical Coding)

Location: Taguig, Philippines (Onsite – MCK West)
Work Setup: Onsite
Start Date: ASAP (Negotiable)
Salary: Up to Php 70,000 (Based on experience; reasonable increase from current salary)
Headcount: 1


Job Summary

We are hiring a Quality Auditor – Medical Coding with strong experience in BPO healthcare accounts. The role focuses on auditing coding accuracy, ensuring compliance, and improving overall coding quality across Emergency, Observation, and Surgical cases

• Perform daily coding audits based on assigned sample coverage
• Maintain minimum 95% quality accuracy
• Ensure compliance with internal and client coding standards
• Identify performance gaps and recommend process improvements
• Collaborate with coders, QA teams, and leadership
• Utilize and demonstrate working knowledge of the EPIC system

Qualifications

• Certification required: AHIMA or AAPC
• Bachelor’s degree required (RN is an advantage but not required)
• Minimum 4+ years of medical coding experience
• BPO experience in medical coding is required

Required Technical Expertise

• Emergency Department (ED) and Observation coding
• General surgical and bedside procedures
• Injection & Infusion (I&I) coding:
  • IV Push
  • Chemotherapy
  • Non-chemotherapy infusion
  • Hydration
• Strong knowledge of:
  • Coding modifiers
  • Surgical supply charges
  • Resolving NCCI edits
• Experience validating Revenue Codes:
  • 0760 – Treatment/Observation Room
  • 0762 – Observation Room
  • 0761 / 0769 – Treatment rooms
• Familiarity with:
  • Carve-out procedure times