Certified Coding Specialist (CCS) - Inpatient Medical Coder QA | IP DRG

Private Advertiser; Pasay; Presencial; PHP 360 000 - 600 000; Tempo integral

Resumo da oferta

Private Advertiser is seeking an Inpatient Medical Coder (IP Coder) and Quality Analyst to perform inpatient coding quality audits, DRG validation, and medical record reviews. You will ensure coding accuracy, compliance, and appropriate reimbursement by applying ICD-10-CM/PCS guidelines and DRG requirements.

The role requires 1–3 years of inpatient coding experience and an active PHRN license. Preference for CCS certification and experience in auditing or documentation review.

Qualificações

• 1–3 years of inpatient medical coding experience.
• Active PHRN license.
• Strong DRG coding experience.
• Knowledge of ICD-10-CM/PCS, MS-DRG, and inpatient guidelines.
• Experience in QA, auditing, or documentation review preferred.

Responsabilidades

• Perform quality audits of inpatient records to validate diagnoses, procedures, ICD-10-CM/PCS codes, and DRG assignments.
• Review clinical documentation to ensure diagnoses and DRGs are supported by the chart and guidelines.
• Identify coding discrepancies, documentation issues, and document audit findings clearly and accurately.

Conhecimentos

Inpatient coding

DRG coding

Quality audits

Documentation review

Formação académica

Active PHRN License

CCS Certification (preferred)

Descrição da oferta de emprego

Inpatient Medical Coder | IP Coder | Quality Analyst

Responsible for performing inpatient coding quality audits, DRG validation, clinical documentation reviews, and complex case assessments to ensure coding accuracy, compliance, and appropriate reimbursement. Utilizes inpatient coding guidelines, clinical documentation, and professional resources to identify discrepancies and validate billed diagnoses and DRG assignments.

Key Responsibilities

• Perform comprehensive quality audits of inpatient medical records to validate diagnoses, procedures, ICD-10-CM/PCS codes, and DRG assignments.

• Review clinical documentation to determine whether reported diagnoses and DRGs are fully supported by the medical record and applicable coding guidelines.

• Identify coding discrepancies, documentation issues, and potential DRG inaccuracies, and document audit findings clearly and accurately.

Qualifications

• Minimum of 1 to 3 years of inpatient medical coding experience.

• Active PHRN License

• Proven experience with inpatient coding and Diagnosis-Related Group (DRG) coding.

• Experience in coding quality assurance, auditing, clinical validation, or documentation review preferred.

• Strong knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG, and inpatient coding guidelines.

Preferred Certifications

• CCS – Certified Coding Specialist