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Code Red, Solved Solving the medical coding crisis with smarter hiring and airtight screening

The Perfect Storm: Demand, Deadlines, and Dropouts

A U.S.-based healthcare BPO with an operational hub in Metro Cebu had just secured its biggest offshore account yet: an end-to-end medical coding contract with a major insurance group. The deliverables were aggressive—60 coders in 90 days—and the SLA demanded accuracy, confidentiality, and compliance with U.S. healthcare coding standards (CPC, CCS, HIPAA).

But halfway into the ramp-up, the local HR team had hit a wall. Applications were either too junior, lacking credentials, or dropping out after training. Worse, a surprise internal audit uncovered that 3 new hires had presented falsified CPC certifications, risking client penalties and contract suspension. Time, trust, and credibility were on the line.

A Dual Approach: Source Right, Screen Smarter

The company partnered with Circa Logica Group for a combined Talent Fulfillment + Talent Compliance solution. The goal: build a consistent pipeline of certified, experienced medical coders while ensuring every hire was legitimately credentialed, identity-verified, and employment-history-checked.

CLG deployed parallel workstreams: a sourcing sprint focused on quality over quantity, and a compliance overlay that verified every applicant’s claims before they reached the client. By embedding the two functions together, CLG ensured not just fast hiring—but secure, audit-proof hiring.