DRG Validation Auditor

2 days ago


Cubao Quezon City, Philippines ACCPRO International Full time

DUTIES and RESPONSIBILITIES:
• Review inpatient medical records for validation of DRG (Diagnostic-related Groups)
assignment.
• Provide detailed rationale and supporting evidence for recommendations and
findings.
• Utilize industry-recognized references to support their review findings, such as the
ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical
Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding
Clinics.
• Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting
software, Meditech etc. will be added advantage.
QUALIFICATIONS:
• At least 2 years of experience in DRGV/ IP Auditor
• Must be a College Graduate of any med-allied course
Must Haves:
Active Coding Certification
Nice to Have:
Bachelor’s Degree in Nursing
RELEVANT INFORMATION:
• If certification will expire in the next 6 months, candidate will shoulder certification
renewal
Training Details: 2 Months | Mid Shift | Onsite (Cubao, Quezon City)
No planned leaves or absences during training
Work Address: Cyberpark Tower 2, Gen Mc Arthur Avenue, Araneta City, Barangay
Socorro, Quezon City
Work Set-up: Onsite
Work Schedule: Monday to Friday | 3pm – 12mn Philippine Time
Work Type: Full Time
Salary: Php 95,000.00 – Php 100,000.00

BENEFITS OFFERED:
• Fixed Weekend Off
• HMO on Day 1 (with 2 free dependents upon regularization)
• Group Life Insurance on Day 1
• Clinical Allowances (License Allowance, Relevant Exp Allowance, Complexity
Allowance)
• Quarterly Variable Incentive (QVI)
• Annual Merit Increase
• Applicant Referral Program Incentive (ARP)
• Leave Credits Conversion


- INTERVIEW IS VIRTUAL..
YOU CAN EARN TWICE 2X OF YOUR MONTHLY SALARY..



  • Cubao, National Capital Region, Philippines ACCPRO International Full time

    Job Title: DRG Validation AuditorWe are seeking a highly skilled DRG Validation Auditor to join our team at ACCPRO International.Job Summary:The DRG Validation Auditor will be responsible for reviewing inpatient medical records to validate DRG assignments. The ideal candidate will have a strong understanding of DRG coding and be able to provide detailed...


  • Cubao, National Capital Region, Philippines ACCPRO International Full time

    Job Title: DRG Validation AuditorWe are seeking a highly skilled DRG Validation Auditor to join our team at ACCPRO International. As a DRG Validation Auditor, you will be responsible for reviewing inpatient medical records to validate DRG assignments.Key Responsibilities:Review inpatient medical records for validation of DRG assignmentsProvide detailed...


  • Quezon City, National Capital Region, Philippines ACCPRO International Full time

    Job Title: DRG Validation AuditorACCPRO International is seeking a highly skilled DRG Validation Auditor to join our team. As a DRG Validation Auditor, you will be responsible for reviewing inpatient medical records to validate DRG assignments and providing detailed rationale and supporting evidence for recommendations and findings.Key...


  • Cubao, Quezon City, Philippines ACCPRO International Full time

    DUTIES and RESPONSIBILITIES: • Review inpatient medical records for validation of DRG (Diagnostic-related Groups) assignment. • Provide detailed rationale and supporting evidence for recommendations and findings. • Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting,...


  • Quezon City, Philippines ACCPRO International Full time

    DUTIES and RESPONSIBILITIES:• Review inpatient medical records for validation of DRG (Diagnostic-related Groups)assignment.• Provide detailed rationale and supporting evidence for recommendations andfindings.• Utilize industry-recognized references to support their review findings, such as theICD-10 Official Guidelines for Coding and Reporting, AHIMA...


  • Quezon City, Philippines ACCPRO International Full time

    DUTIES and RESPONSIBILITIES:• Review inpatient medical records for validation of DRG (Diagnostic-related Groups)assignment.• Provide detailed rationale and supporting evidence for recommendations andfindings.• Utilize industry-recognized references to support their review findings, such as theICD-10 Official Guidelines for Coding and Reporting, AHIMA...


  • Quezon City, National Capital Region, Philippines Nityo Infotech Services Philippines Inc. Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Internal Auditor to join our team at Nityo Infotech Services Philippines Inc.Main ResponsibilitiesDevelop and implement the Annual Audit Plan to ensure alignment with company objectives and regulatory requirements.Conduct thorough risk assessments and manage audits to identify areas for...

  • SOX Internal Auditor

    4 weeks ago


    Cebu City, Philippines Comrise Global Solutions Full time

    JOB RESPONSIBILITIES The SOX Internal Auditor is responsible for supporting management in evaluating the adequacy and effectiveness of internal controls and risk management processes. Assist the Company’s adherence to SOX requirements including Sections 302 and 404 by providing an independent assessment of management’s controls. Plan and execute SOX...


  • Cebu City, Central Visayas, Philippines Comrise Global Solutions Full time

    Job Title: SOX Internal AuditorComrise Global Solutions is seeking a highly skilled SOX Internal Auditor to join our team. As a key member of our Internal Audit Department, you will play a critical role in ensuring the adequacy and effectiveness of our internal controls and risk management processes.Key Responsibilities:Support management in evaluating the...

  • hotel night auditor

    1 month ago


    Baguio City, Cordillera, Philippines AZALEA LEISURE RESIDENCES CORPORATION Full time

    As the Hotel's Night Auditor, your duties and responsibilities include:Works under the guidance of a senior accountant to evaluate internal controls and procedures in income reporting systems and ensures these procedures are operating effectively.Aids the hotel top management in ensuring that revenue amounts reported in the corporate financial statements are...

  • SOX Internal Auditor

    4 weeks ago


    Cebu City, Philippines Comrise Global Solutions Full time

    JOB RESPONSIBILITIES The SOX Internal Auditor is responsible for supporting management in evaluating the adequacy and effectiveness of internal controls and risk management processes. Assist the Company’s adherence to SOX requirements including Sections 302 and 404 by providing an independent assessment of management’s controls. Plan and execute SOX...

  • Audit Manager

    2 days ago


    Quezon City, National Capital Region, Philippines Nityo Infotech Full time

    Job RequirementsWe are seeking a highly skilled and experienced Audit Lead to join our team at Nityo Infotech.QualificationsGraduate of BS Accountancy with a strong academic background.Must be a Certified Public Accountant (CPA) with a valid certification.Preferably, Certified Internal Auditor (CIA) with relevant experience.ExperienceAt least 2 years of...

  • Audit Manager

    2 days ago


    Quezon City, National Capital Region, Philippines Nityo Infotech Full time

    Job Title: Audit LeadWe are seeking a highly skilled and experienced Audit Lead to join our team at Nityo Infotech. As an Audit Lead, you will be responsible for leading the development of the Annual Audit Plan, performing risk assessments, and managing audits to ensure compliance with company policies and regulations.Key Responsibilities:Develop and...

  • Audit Lead

    2 months ago


    Quezon City, Philippines Nityo Infotech Full time

    LOCATION: Novaliches Quezon City WORK SETUP: Hybrid (2 to 3 times onsite per week) SCHEDULE: 8am to 6pm QUALIFICATIONS: *Graduate of BS Accountancy *Must be a Certified Public Accountant *Preferably, Certified Internal Auditor *At least 2 years External Audit experience *At least 3 years Internal Audit experience in similar industry *Combined 2 years in...

  • Audit Manager

    2 days ago


    Quezon City, National Capital Region, Philippines Nityo Infotech Services Philippines Inc. Full time

    Job Title: Assistant Audit ManagerJoin our team at Nityo Infotech Services Philippines Inc. as an Assistant Audit Manager, where you will play a crucial role in ensuring the effectiveness and efficiency of our internal audit processes.Key Responsibilities:Develop and Implement Audit Plans: Collaborate with senior management to develop and implement annual...


  • Quezon City, Philippines Nityo Infotech Services Philippines Inc. Full time

    Major Responsibilities: 1. Develops the Annual Audit Plan for submission to Immediate Superior and/or Audit Department Head for review and approval. 2. Performs Annual Risk Assessments and manages audits in accordance with accepted Internal Auditing standards. 3. Plans and manages audit reviews to assess controls, operational efficiencies, and compliance...

  • Audit Manager

    2 days ago


    Quezon City, National Capital Region, Philippines Nityo Infotech Full time

    Job Title: Audit LeadWe are seeking a highly skilled and experienced Audit Lead to join our team at Nityo Infotech.Location:Novaliches, Quezon CityWork Setup:Hybrid (2 to 3 times onsite per week)Schedule:8am to 6pmQualifications:Graduate of BS AccountancyMust be a Certified Public AccountantPreferably, Certified Internal AuditorAt least 2 years External...

  • Audit Manager

    2 days ago


    Quezon City, National Capital Region, Philippines Nityo Infotech Full time

    Job Title: Audit LeadLocation: Novaliches Quezon CityWork Setup: Hybrid (2 to 3 times onsite per week)Schedule: 8am to 6pmQualifications:Graduate of BS AccountancyMust be a Certified Public AccountantPreferably, Certified Internal AuditorAt least 2 years External Audit experienceAt least 3 years Internal Audit experience in similar industryCombined 2 years...

  • Audit Lead

    2 months ago


    Quezon City, Philippines Nityo Infotech Full time

    LOCATION: Novaliches Quezon City WORK SETUP: Hybrid (2 to 3 times onsite per week) SCHEDULE: 8am to 6pm QUALIFICATIONS: *Graduate of BS Accountancy *Must be a Certified Public Accountant *Preferably, Certified Internal Auditor *At least 2 years External Audit experience *At least 3 years Internal Audit experience in similar industry *Combined 2 years in...

  • Clinical Nurse Auditor

    2 months ago


    Pasig City, Philippines Visaya KPO Full time

    Key Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize state or payor portal to check authorization statusesEducation:...