Role Overview

• Job Title: Quality Auditor, Medical Coding

• Salary: Competitive increase from current, up to Php 70,000

• Work Setup: On-site at MCK West, Taguig

• Eligibility Note: Former employees of AGS are not eligible for rehire through any channel

Core Responsibilities

• Audit Execution: Conduct daily coding audits based on assigned sample sizes to ensure data integrity

• Accuracy Standard: Maintain a minimum quality accuracy rate of 95% while collaborating with team leads

• Compliance: Adhere strictly to the company’s Coding Compliance Policy for both internal and external client audits

• Performance Improvement: Detect gaps in coder performance and provide actionable recommendations to raise quality standards

• Systems: Demonstrate proficiency in utilising the EPIC system for daily tasks

Technical Qualifications

• Certification: Must hold a valid certification from either AHIMA or AAPC

• Experience: Minimum of 4 years in medical coding, specifically within a BPO environment

• Education: College graduate at minimum; Registered Nurse (RN) status is preferred

Required Technical Knowledge

• Coding Specialities: Expertise in Emergency Department (ED), Observation, and General Surgical coding

• Injection & Infusion (I&I): Proficiency in coding for IV push, Hydration, and both Chemotherapy and Non-chemotherapy infusions

• Financial Validation: Experience validating Revenue Codes (0760, 0761, 0762, 0769) and resolving NCCI edits

• HCPCS & Modifiers: Strong grasp of HCPCS codes (G0378, G0379), surgical supply charges, and the correct application of modifiers

• Medical Necessity: Solid understanding of medical necessity requirements and carve-out procedure times

Available to Start Immediately.