Inpatient DRG Auditor

Job Title: MSDRG NurseLocation: Taguig CityWork set up: HybridSalary: PHP 60,000 - PHP 70,000Work schedule: NightParallel Job title:DRG Validation AuditorPosition DescriptionThe DRG Validation Auditor is part of the DRG Validation Team and is responsible for reviewing medical records to ensure accurate coding and proper reimbursement for clinical services...

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,...

US Registered Nurses (USRN) Location: Onsite, Manila Start Date: ASAP Salary: Up to PHP 100,000 (depending on experience) Openings: 10 slots availableQualifications:Active USRN license (in any state)At least 2 years of hospital or bedside experience in an acute care setting (e.g., Med/Surg, Ortho, ER)Experience with InterQual preferredBackground in Inpatient...

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,...

Responsible for serving as the operations point of contact for Medical Management and /or Medical Coding day to day operations, including but not limited to, facilitating issue resolution, meeting goals and targets.Primary duties may include, but are not limited to:Acts as a liaison for both internal and external groups for program initiatives. Help create,...

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:Serves as a first line resource for operation associates for workflow and technical related processes; provides...

Revenue Cycle Management Specialist Trainer (Healthcare Billing)Key Responsibilities:Lead the successful setup and management of the RCM training function.Train new hires, tenured staff, and experienced professionals across all backend RCM processes.Deliver engaging training sessions through classroom, virtual, e-learning, and hands-on methods.Conduct...

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 communications...

DRGV TrainerRole: Trainer (Onsite)Location: Cubao, QCQualifications:RHIA, RHIT, CCS w/ CDI credentials (CDIP/CCDS)Bachelor's in Nursing/Allied Medical field (Advanced degree/certs preferred)1.5 yrs as DRGV Auditor/Analyst5 yrs total in Medical Coding (3 yrs DRG coding)Responsibilities: Training new hires, Quality review, Audit supportSalary Range: ₱62K –...

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...