DRG Validation Auditor

2 days ago

Cubao, National Capital Region, Philippines ACCPRO International Full time
Job Title: DRG Validation Auditor

We 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 rationale and supporting evidence for recommendations and findings.

Key Responsibilities:
  • Review inpatient medical records for validation of DRG assignment
  • Provide detailed rationale and supporting evidence for recommendations and findings
  • Utilize industry-recognized references to support 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 an added advantage
Requirements:
  • At least 2 years of experience in DRGV/IP Auditor
  • Must be a College Graduate of any med-allied course
  • Active Coding Certification
  • Nice to Have: Bachelor's Degree in Nursing
Benefits:
  • 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 your monthly salary.

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