Inpatient DRG Coders

1 day ago

Pasay, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time ₱400,000 - ₱600,000 per year

We are currently looking for Inpatient DRG Coder to be part of our IP DRG team

As a Inpatient DRG coder you'll determine if a discrepancy exists in the coding and clinical documentation using standard documentation guidelines applicable to the program.

Responsibilities include:

  • Conduct initial audit reviews to validate billed diagnoses and DRG code are supported by medical records
  • Record Audit results and document finding notes based on policies using professional clinical resources
  • Perform provider appeals reviews and render decision to either uphold or overturn original finding
  • Review questionable encoder results, complex cases, and appeal reviews to facilitate referrals to clinical department as needed
  • Propose new audit concepts supported by your research and analysis.
  • Define new audit concept criteria and test and validate new concepts developed by analytics team
  • Escalate facility issues per Devoted guidance.

Requirements:

  • Must have at least 2 years experience as Inpatient DRG Coder
  • Must have ACTIVE CODING License from AAPC/AHIMA
  • Proficiency in ICD-10 and PCS coding systems.
  • Strong analytical and problem-solving skills.
  • Excellent attention to detail and accuracy.
  • Familiarity with healthcare compliance and documentation standards.
  • Willing to report at McKinley, Taguig / Double Dragon, Pasay / Imet, Pasay

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