DRGV SPECIALIST | URGENT HIRING

Private Advertiser

Taguig

On-site

PHP 600,000 - 900,000

Full time

2 days ago
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Job summary

Private Advertiser in the Philippines is seeking a DRGV Specialist to review inpatient records, validate DRG assignments, and ensure compliant coding practices. The role requires strong knowledge of inpatient coding standards, clinical documentation, and references like ICD-10 guidelines and AHIMA standards.

Experience with 3M Coding, Optum, CAC, abstracting software, or Meditech is a plus. Onsite work locations include Quezon City, Taguig City, or Cebu, with a dayshift to midshift schedule.

Qualifications

  • Experience in DRG validation and inpatient coding required.
  • Knowledge of ICD-10 Official Guidelines and AHIMA standards.
  • Active CIC or CCS certification preferred.

Responsibilities

  • Review inpatient records for DRG validation.
  • Provide detailed rationale for findings and recommendations.
  • Apply coding standards to ensure accurate DRG assignments.

Skills

Inpatient coding
DRG validation
Medical record review
AHIMA guidelines

Education

College graduate - medical-allied

Tools

3M Coding
Optum
CAC
Abstracting software
Meditech

Job description

DRGV SPECIALIST | URGENT HIRING
Work Location

Quezon City, Taguig City, or Cebu

Work Setup

Onsite

Shift

Dayshift to Midshift

JOB DESCRIPTION

We are looking for a DRGV Specialist who will review inpatient medical records and validate DRG (Diagnosis-Related Groups) assignments. The role requires strong knowledge of inpatient coding standards, clinical documentation, and compliant coding practices.

Key Responsibilities
  • Review inpatient medical records for DRG validation
  • Provide detailed rationale and supporting evidence for findings and recommendations
  • Utilize recognized references such as ICD-10 Official Guidelines, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs, and AHA Coding Clinics
  • Apply knowledge of coding and auditing standards to ensure accurate and compliant DRG assignments
  • Experience with 3M Coding, Optum, CAC, abstracting software, or Meditech is an advantage
QUALIFICATIONS
  • At least 2 years and 6 months of DRGV/IP Auditor experience, OR 3–5 years of inpatient coding experience
  • College graduate of any medical-allied course
  • Must have an active CIC or CCS certification
  • CPC holders must have at least 2 years of DRG experience
  • If certification expires within the next 6 months, the candidate will shoulder the certification renewal
  • Strong knowledge of inpatient coding, DRG validation, and medical record review

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