job description
Join Epsilon Group Services as a Remote Inpatient QA Coder Auditor and play a pivotal role in ensuring accuracy, compliance, and efficiency in healthcare revenue cycle management. This 100% work-from-home opportunity in Bali offers a competitive salary of ₱85,000–₱95,000/month for professionals with a strong background in inpatient coding, auditing, and quality assurance.
As a key member of our team, you will review and validate medical coding accuracy, identify discrepancies, and ensure adherence to industry standards (e.g., ICD-10-CM, CPT, HCPCS). Your expertise will directly impact revenue integrity, compliance, and operational excellence for healthcare providers. Ideal candidates thrive in a detail-oriented, fast-paced environment and are passionate about delivering error-free, high-quality coding solutions.
Why apply? Enjoy the flexibility of remote work in Bali’s vibrant communities (Canggu, Ubud, Denpasar, etc.) while contributing to a globally recognized healthcare services leader. Epsilon Group Services values precision, collaboration, and continuous improvement—making this role perfect for certified coders (CPC, CCS, RHIA) or auditors with 5+ years of inpatient coding experience.
Responsibility
- Conduct comprehensive audits of inpatient medical records to ensure coding accuracy and compliance with ICD-10-CM, CPT, and HCPCS guidelines.
- Identify and resolve coding discrepancies, upcoding/downcoding errors, and documentation deficiencies.
- Collaborate with coding teams, clinicians, and revenue cycle stakeholders to clarify documentation and improve coding practices.
- Generate detailed audit reports with actionable recommendations for process improvements.
- Stay updated on regulatory changes (e.g., CMS, AHA) and implement updates to maintain compliance.
- Train and mentor junior coders on best practices, coding conventions, and audit methodologies.
- Support denial management by analyzing claim rejections and recommending corrective actions.
- Participate in quality assurance initiatives to enhance overall coding accuracy and efficiency.
Qualifications
- 5+ years of inpatient (IP) coding experience with exposure to multiple medical specialties (e.g., surgery, cardiology, orthopedics).
- Certification as a CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or RHIA (Registered Health Information Administrator) is highly preferred.
- Proficiency in ICD-10-CM, CPT, HCPCS Level II, and MS-DRG/APC coding systems.
- Experience with auditing tools (e.g., 3M Encoder, Epic, Cerner) and EHR/EMR systems.
- Strong analytical skills with the ability to interpret complex medical documentation and apply coding guidelines accurately.
- Excellent written and verbal communication skills for reporting findings and collaborating with cross-functional teams.
- Ability to work independently in a remote setting with minimal supervision, meeting strict deadlines.
- Familiarity with HIPAA, CMS, and AHA coding regulations is a plus.