IP DRG Auditor
National Capital Region - Philippines
Job Summary
We are looking for a detail-oriented and certified IP DRGV Auditor Coder to join our this role you will be responsible for reviewing clinical documentation and assigning accurate codes for inpatient encounters in compliance with coding guidelines and regulatory requirements.
-
Review and analyze inpatient medical records to assign accurate ICD-10-CM ICD-10-PCS and DRG codes
-
Ensure coding accuracy completeness and compliance with AHIMA/AAPC standards
-
Interpret clinical documentation including physician notes lab results and discharge summaries
-
Query physicians when documentation is insufficient or unclear
-
Meet productivity and quality benchmarks
-
Stay updated with coding changes payer guidelines and compliance requirements
-
Collaborate with QA and audit teams for continuous improvement
-
Active certification (any of the following):
-
CPC CCS CIC or CCS-P
-
-
Minimum 13 years of DRGV coding experience (acute care setting preferred)
-
Strong knowledge of:
-
ICD-10-CM / ICD-10-PCS coding
-
DRG assignment
-
Medical terminology anatomy and physiology
-
-
Experience with EMR/EHR systems and encoder tools
-
Good analytical and problem-solving skills
-
Strong attention to detail and accuracy
-
Experience in US healthcare / revenue cycle management
-
Exposure to auditing or quality assurance processes
-
Familiarity with payer-specific guidelines
-
Competitive salary package
-
Night shift differential
-
HMO and other health benefits
-
Career growth and upskilling opportunities
-
Stable and global work environment