DRGV Specialist / Inpatient Coding Auditor (Work From Home) 80,000 – 100,000

EPSILON GROUP SERVICES INC.; Quezon City; Remote; PHP 781,000 - 893,000; Full time

Job summary

EPSILON GROUP SERVICES INC. is seeking experienced DRGV Specialists / Inpatient Coding Auditors to evaluate inpatient records, validate DRG assignments and ensure compliant medical coding.

The role targets certified coding professionals with strong inpatient coding or DRG validation experience who want to advance in coding quality and audits. Training is onsite with multiple shifts and locations in QC/Taguig/Cebu.

Qualifications

• BS Nursing or allied degree required.
• Active coding certification: CIC, CCS, or CPC.
• Minimum 2 years 6 months of DRGV or inpatient auditing experience, or 3–5 years of inpatient coding experience.
• CPC holders must have at least 2 years of DRG experience.
• Strong knowledge of inpatient coding guidelines, DRG validation, and medical record documentation.
• Willing to work onsite in Quezon City, Taguig City, or Cebu City.
• Willing to work on shifting schedules.

Responsibilities

• Review inpatient medical records to validate DRG assignments.
• Evaluate clinical documentation and coding accuracy.
• Provide detailed, evidence-based rationales for review findings and recommendations.
• Apply the ICD-10 Official Guidelines for Coding and Reporting, AHIMA coding standards and practice briefs, and AHA Coding Clinic guidance.
• Identify coding discrepancies and documentation issues affecting DRG assignment.
• Maintain compliance with applicable coding guidelines and standards.

Skills

Inpatient coding

DRG validation

Medical record documentation

ICD-10 guidelines

Auditing experience

Onsite work readiness

Education

BS Nursing or allied course

CIC certification

CCS certification

CPC certification

Tools

3M coding

Optum

CAC

abstracting software

Meditech

Job description

Job Description

We are hiring experienced DRGV Specialists / Inpatient Coding Auditors to evaluate inpatient medical records, validate Diagnostic-Related Group (DRG) assignments, and ensure accurate, compliant clinical coding.

This opportunity is ideal for certified coding professionals with strong inpatient coding or DRG validation experience who want to advance their expertise in medical coding quality and audit.

Key Responsibilities

• Review inpatient medical records to validate DRG assignments.

• Evaluate clinical documentation and coding accuracy.

• Provide detailed, evidence-based rationales for review findings and recommendations.

• Apply the ICD-10 Official Guidelines for Coding and Reporting, AHIMA coding standards and practice briefs, and AHA Coding Clinic guidance.

• Identify coding discrepancies and documentation issues affecting DRG assignment.

• Maintain compliance with applicable coding guidelines and standards.

Qualifications

• College graduate of BS Nursing or another medical-allied course.

• Active coding certification: CIC, CCS, or CPC.

• At least 2 years and 6 months of DRGV or inpatient auditing experience, OR 3–5 years of inpatient coding experience.

• Candidates with a CPC certification must have at least 2 years of DRG experience.

• Strong knowledge of inpatient coding guidelines, DRG validation, and medical record documentation.

• Willing to work onsite in Quezon City, Taguig City, or Cebu City.

• Willing to work on shifting schedules.

Preferred Skills and Experience

• Experience with 3M coding, Optum, computer-assisted coding (CAC), abstracting software, or Meditech.

• Background in DRGV auditing, inpatient coding, or coding quality review.

Work Setup and Schedule

• Work arrangement: Onsite during training and after training.

• Training shift: 3:00 PM–12:00 MN.

• Post-training shifts may include:

  • 7:00 AM–4:00 PM

  • 11:00 AM–8:00 PM

  • 3:00 PM–12:00 MN

• Final schedule depends on business requirements and assigned location.

• Training and ramp-up may take approximately 12–14 weeks.

Compensation

• Monthly salary: ₱70,000–₱80,000, subject to the final approved offer.

• Applicable allowances and benefits will be discussed during the recruitment process.

Please note: Candidates whose coding certification expires within the next six months may be required to shoulder the renewal cost.