DRG Coding Auditor

POSITION

• DRG Validation Auditor - Coding Auditor

WORK SET UP : Onsite

Location: Orttigas and Taguig

WORK SCHEDULE: Night Shifting Schedule

SALARY PACKAGE: 60, ,000

KINDLY INCLUDE YOUR JOB DESCRIPTION, DUTIES & RESPONSIBILITIES, TOOL, CERTIFICATION AND TRAINING IN YOUR CV FOR PAPER SCREENING

Job Requirements:

DRG Validation - Review inpatient hospital medical records and validate the assigned MS-DRG codes for correctness.

Clinical Review - Ensure the codes assigned match the documented diagnoses, treatments, and procedures.

Coding Compliance - Identify any discrepancies or upcoding (overstating severity for higher reimbursement).

Audit & Education - Report findings and provide education to coders or clinical documentation specialists.

Work with CDI Teams - Collaborate with Clinical Documentation Improvement (CDI) teams to enhance documentation quality.

Job Requirements:

• Must be a Graduate of BS Nursing
• Holds current AHIMA certification; required
• Minimum of 5 years of inpatient coding experience
• Strong knowledge of ICD-10-CM/PCS coding and DRG reimbursement
• Experience in training and mentoring junior coders is highly desirable
• Proficient in MS-DRG and APR-DRG reimbursement methodologies
• Demonstrates strong clinical validation and data analysis skills
• Skilled in using Microsoft Office (Outlook, Word, Excel) and Windows OS
• Ability to write clear, well-structured narrative reviews with proper grammar and punctuation
• Able to adapt to shifting priorities and meet productivity standards and deadlines
• Self-directed, detail-oriented, and passionate about continuous learning
• May be required to travel occasionally for training or on-site reviews

Job Types: Full-time, Permanent

Pay: Php60, Php70,000.00 per month

Benefits:

• Company Christmas gift
• Company events
• Flexible schedule
• Health insurance
• Opportunities for promotion
• Paid training
• Pay raise
• Promotion to permanent employee

Education:

• Bachelor's (Preferred)

Experience:

• Inpatient Medical Coder: 5 years (Preferred)

License/Certification:

• AHIMA Certification (Preferred)

Work Location: In person