USRN - Medical Coding Manager

4 days ago


Manila, National Capital Region, Philippines Private Advertiser Full time ₱1,500,000 - ₱2,500,000 per year

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, clinical guidelines, and objectivity in the performance of medical audit activities.
  • Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions.
  • Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings letters.
  • Maintains accuracy and quality standards as established by audit management. Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs).
  • Suggests and develops high quality, high value, concept and or process improvement and efficiency recommendations.
  • Requires current, active, unrestricted Registered Nurse license in applicable state(s) and minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG.
  • One or more of the following certifications are preferred:

  • Certified Clinical Documentation Specialist (CCDS),

  • Certified Documentation Improvement Practitioner (CDIP),
  • Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC.
  • Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred.
  • Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred.
  • 5 years of Management experience.


  • Manila, National Capital Region, Philippines Carelon Global Solutions Full time ₱1,500,000 - ₱2,500,000 per year

    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,...

  • Mass Hiring USRNs

    2 weeks ago


    Manila, National Capital Region, Philippines Global Group Innovative Services, Inc. Full time ₱80,000 - ₱100,000 per year

    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...

  • usrn

    4 days ago


    Manila, National Capital Region, Philippines Rural Healthcare Solutions Full time ₱900,000 - ₱1,200,000 per year

    Company DescriptionWe suggest you enter details here.Role DescriptionThis is a full-time remote role for a USRN. The USRN will be responsible for providing remote clinical services to patients, including triage, patient education, and coordination of care. The role involves using telehealth technology to evaluate and assess patient conditions, manage...


  • Manila, National Capital Region, Philippines Stark Asia Solutions Inc. Full time ₱25,000 - ₱65,000 per year

    We Are Hiring Build Your Healthcare Career With UsWe are expanding our healthcare team and looking for skilled and passionate professionals to join us. Explore the exciting opportunities below:Position: Certified Medical CoderLocation: Metro Manila. DavaoQualifications:Active CPC/CPC-AWith or Without coding experienceSalary and Benefits:25,000 to 32,000 +...


  • Manila, National Capital Region, Philippines NextSphere Full time ₱900,000 - ₱1,200,000 per year

    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...


  • Manila, National Capital Region, Philippines ACCPRO INTERNATIONAL Full time ₱900,000 - ₱1,200,000 per year

    PHRN Medical Coder – Non-Voice (Onsite)Location: Manila, PhilippinesWork Setup: OnsiteSchedule: Monday to Friday | Night Shift | Shifting Schedule | Weekends OffEmployment Type: Full-TimeDuties and ResponsibilitiesMedical Coding & DocumentationAssign ICD-10, CPT, HCPCS, and DRG codes based on medical records.Ensure accuracy of coded data for claims...

  • Medical Coder

    6 days ago


    Manila, National Capital Region, Philippines STANG Medical Billing & Coding Services, Inc. Full time ₱300,000 - ₱600,000 per year

    Medical Coder:Medical allied. Must hold a valid CPC or CRC certification. Experience in Risk Adjustment/HCCJob Type: Full-timeBenefits:Work from homeEducation:Bachelor's (Preferred)Experience:Risk Adjustment : 2 years (Preferred)License/Certification:CPC CRC (Preferred)Location:Manila (Preferred)Work Location: Remote


  • Manila, National Capital Region, Philippines WhereToNextMED Full time ₱600,000 - ₱1,200,000 per year

    Job Title:USRN (Telehealth Virtual Assistant) – $25 per SessionLocation:Remote (Philippines-based applicants welcome)Employment Type:Project-based / Per Session EngagementJob HighlightsUSRN Role in Telehealth (Work from Home)$25 per session (per consultation, ~45 minutes per patient)Flexible, session-based engagementJob DescriptionWe are seeking...


  • Manila, National Capital Region, Philippines RemoteRaven Full time ₱40,000 - ₱52,000 per year

    Job Title: Revenue Cycle Manager / Medical Coder – RemoteLocation: Remote (supporting Austin, Texas clinic)Salary: Up to $10/hr (RCM Manager) | Up to $8/hr (Medical Coder)Employment Type: Full-timeAbout Us:Join a growing outpatient sleep medicine clinic in Austin, TX We provide high-quality patient care while maintaining accurate, compliant, and efficient...


  • Manila, National Capital Region, Philippines Carelon Global Solutions Full time ₱40,000 - ₱80,000 per year

    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...