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,...

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,...

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,...

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...

Overview The Inpatient Auditor ensures the accuracy, compliance, and integrity of inpatient coding through retrospective and prospective audits. This role supports revenue integrity, regulatory compliance, and quality outcomes. Responsibilities Conduct coding audits on inpatient records to assess accuracy, completeness, and compliance. Provide detailed...

Job Description:The Auditor, Coding Quality conducts Initial Coding Quality Reviews (IQRs), Monthly Coding Quality Reviews (MQRs), Focused Quality Audits, and other ad hoc coding quality audits as requested to ensure hospital inpatient, outpatient , and profee claims, ICD-10-CM/PCS, and/or CPT codes were coded and billed in accordance with nationally...

The Auditor, Coding Quality conducts Initial Coding Quality Reviews (IQRs), Monthly Coding Quality Reviews (MQRs), Focused Quality Audits, and other ad hoc coding quality audits as requested to ensure hospital inpatient, outpatient , and profee claims, ICD-10-CM/PCS, and/or CPT codes were coded and billed in accordance with nationally recognised coding...

Health Business Solutions (HBIZ), founded in 2002, is a high-impact, transitional outsourcing firm that provides near-term relief to overturn denied claims and accelerate cash while concurrently working with providers and health systems to address Revenue Cycle under-performance. The Coding Auditor will perform detailed reviews of medical documentation and...

Coding and abstracting medical records according to Tenet/Conifer's quality standards. ·Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).Abstracting: Reviews medical records to determine accurate required abstracting elements...

Clinical Documentation Integrity Specialist We are seeking experienced Clinical Documentation Integrity (CDI) Specialists to support our healthcare clients in improving clinical documentation quality and compliance. Responsibilities Review inpatient and outpatient medical records to ensure accurate clinical documentation. Collaborate with physicians...

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...

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...

Outpatient Medical Coder - Valenzuela Posted today Job Viewed Tap Again To Close Job Description Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-Metrix Experience...

Signing Bonus for new hires! Clinical Coding Analyst Health Business Solutions, LLC Manila (On-site) We are seeking a detail-oriented and analytical Clinical Coding Analyst to join our team and take on the responsibility of reviewing claims denied for coding-related issues. As a Clinical Coding Analyst, you will play a critical role in identifying and...