Inpatient DRG Auditor

JOB SUMMARYResponsible for accurately assigning ICD-10-CM and ICD-10-PCS codes to inpatient records in compliance with official coding guidelines and AHIMAs Standards of Ethical Coding. Abstracts key clinical information and ensures coding accuracy and completeness.Requirements:With active CPC, CCS, CIC2-3 years of experience with inpatient medical coding....

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,...

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...

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...

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,...

Discover your 100% YOU with MicroSourcingPosition: Clinical Documentation Improvement Nurse Specialist - IPLocation: TaguigWork setup & shift: Onsite | Night shiftWhy join MicroSourcing?You'll have:Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one (for you and at least one dependent), paid time-off with cash conversion,...

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...

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...