Clinical Coding Trainer – Drg Specialist

4 weeks ago

Metro Manila Philippines Buscojobs Full time

Clinical Coding Trainer – DRG Specialist

Location: Quezon City
Work Setup: Onsite
Shift: To be discussed
Compensation: ₱62,000 – ₱79,000 + R1 Allowance + Clinical Allowance

About the Role

We are looking for a Clinical Coding Trainer – DRG Specialist to join our team. In this role, you will be responsible for onboarding and training new analysts/auditors, conducting internal quality reviews, and identifying key areas for improvement to ensure our auditing team performs at the highest standards.

You will also provide continuous education, respond to auditing support questions, and deliver updated training aligned with the latest industry rules and guidelines.

This position requires an expert-level professional with deep knowledge of DRG coding and medical documentation, strong communication skills, and a passion for developing people.

Key Responsibilities
  • Facilitate onboarding, training, and ramp-up of new hires.
  • Conduct boot camp presentations and EMR/Cloudmed training sessions.
  • Perform daily QA checks on trainees' casework.
  • Develop training materials and update processes as needed.
  • Conduct monthly quality reviews to identify education opportunities.
  • Provide continuing education, coaching, and performance feedback to auditing staff.
  • Support the auditing team by responding to inquiries and escalations.
  • Review inpatient medical records for DRG assignment validation when needed.
  • Prepare reports, track trends, and communicate findings to leadership.
  • Participate in special projects and assessments as assigned.
Qualifications
  • Minimum 1+ year as a DRGV Auditor/Analyst.
  • At least 5 years of experience in Medical Coding, including 3 years in DRG coding.
  • Must hold current AHIMA credentials (RHIA, RHIT, or CCS).
  • Preferred: CDI credentials (CDIP and/or CCDS).
  • Strong knowledge of IPPS, UHDDS, ICD-10-CM, and PCS.
  • Proficient in EMR systems (Epic, Cerner, Meditech).
  • Bachelor's degree in a medical allied course.
  • Excellent communication, presentation, and training facilitation skills.
  • Strong command of anatomy, physiology, and medical terminology.
  • Proficiency in MS Excel & PowerPoint.
  • High attention to detail, strong organizational skills, and adaptability.
  • Flexible with shift schedules when needed.
What We Offer
  • Competitive Total Rewards Package
  • Target-based incentives
  • HMO coverage from Day 1 (with free dependents)
  • Life insurance
  • Paid Time-Off Benefits (with sick leave conversion)
  • Night Differential Pay
  • Employee Referral Program
  • All Mandatory Statutory Benefits
#J-18808-Ljbffr

  • USRN - Medical Coding Clinical Trainer

    2 weeks ago

    , Metro Manila, Philippines Carelon Global Solutions Full time

    Overview Responsible for analyzing, designing, developing, implementing, and evaluating training solutions for business performance gaps based on business needs. Primary duties may include, but are not limited to: Responsibilities Conducts training needs analysis, designs, develops, implements, and evaluates effectiveness of learning solutions Facilitates...

  • PHRN - Medical Coding Operations Expert

    2 weeks ago

    , Metro Manila, Philippines Carelon Global Solutions Full time

    Overview Responsible for providing domain-expertise, process-related guidance, may assume quality audit, trainer/ coding instructor and/or team management leadership and support, as per business need. Primary duties may include, but are not limited to: Responsibilities Serves as a first line resource for operation associates for workflow and technical...

  • DRGV Trainer- Active RHIA, RHIT, and/or CCS with Clinical

    1 week ago

    manila, Philippines GGAS Services Full time

    DRGV Trainer Qualifications: • Must be willing to work onsite (Quezon City) • Active RHIA, RHIT, and/or CCS with Clinical Documentation Improvement (CDI) credentials such as CDIP and/or CCDS • Minimum 1.5 years in a DRGV Auditor/Analyst position • 5 years total work experience in Medical Coding, including 3 years in DRG coding • Bachelor’s...

  • USRN with Medical coding experience

    1 week ago

    Manila, National Capital Region, Philippines Private Advertiser Full time ₱1 - ₱2 per year

    Job Profile Summary:Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.Primary duties may include, but are not limited to:Analyzes and audits claims by integrating medical chart coding principles,...

  • USRN - Medical Coding Manager

    2 weeks ago

    Manila, National Capital Region, Philippines Private Advertiser Full time ₱1,500,000 - ₱2,500,000 per year

    Job Profile Summary:Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.Primary duties may include, but are not limited to:Analyzes and audits claims by integrating medical chart coding principles,...

  • Clinical Documentation Improvement

    2 weeks ago

    Manila, National Capital Region, Philippines Private Advertiser Full time ₱900,000 - ₱1,200,000 per year

    Join our team as a CDI Specialist and play a vital role in ensuring that clinical records reflect the true complexity of patient care. Your expertise will help bridge the gap between clinical care and coding, supporting better outcomes, compliance, and reimbursement.Key ResponsibilitiesReview inpatient and outpatient medical records for completeness,...

  • Medical Coding Analyst – CDI

    2 weeks ago

    Southern Manila District, Philippines Private Advertiser Full time

    CDI Specialists & Inpatient Coders (Healthcare BPO) Join our dynamic team and play a key role in enhancing clinical documentation quality and coding accuracy across our client systems. Ideal Candidate Must be a PHRN with an active license . Must hold an active coding certification (e.g., CCS, CPC, CIC, CCA). Minimum 1 year of experience in Inpatient Coding...

  • PHRN - Medical Coding Quality Analyst

    2 weeks ago

    , Metro Manila, Philippines Carelon Global Solutions Full time

    Overview Responsible for evaluating the quality of services and interactions provided by organizations within the enterprise. Primary duties may include, but are not limited to: Evaluates the quality and accuracy of transactions and/or communications with providers, groups, and/or policyholders. Identifies, documents, and reports any transaction errors or...

  • Medical Coding Specialist

    2 weeks ago

    Manila, National Capital Region, Philippines NextSphere Full time ₱900,000 - ₱1,200,000 per year

    ducation & Certification:Bachelor's degree in Health Information Management, Nursing, Allied Health, or related field.Mandatory certification in ICD-10, CPT, and/or HCPCS coding (CPC, CCS, CCA) from recognized international or local bodies.Optional but highly valued: experience with Epic, Cerner, Meditech, or other EHR/EMR systems.Experience:3–5+ years of...

  • Clinical Trainer

    2 weeks ago

    Manila, National Capital Region, Philippines Access Healthcare Full time ₱1,200,000 - ₱2,400,000 per year

    We are seeking a motivated and experienced Clinical Trainer to join our Healthcare Business Processing Outsourcing Team. In this role, you will be responsible for overseeing the clinical training programs, ensuring deployed employees possess the necessary skills and knowledge to deliver exceptional services to our clients. The ideal candidate will have a...