Inpatient Coder | IP DRG (100K Sign-On Bonus)

Private Advertiser; Pasay; On-site; PHP 360,000 - 600,000; Full time

Job summary

Private Advertiser is seeking skilled Inpatient Medical Coders to join our Healthcare BPO team. You will review inpatient records and assign accurate ICD-10-CM/PCS codes, validate DRG assignments, and ensure compliance with guidelines and payer requirements.

Qualifications include active Philippine Registered Nurse (PHRN) licensure and CIC/CCS certification, with experience in inpatient coding and DRG validation. Night shifts and weekend schedules may be required.

Qualifications

• Philippine Registered Nurse (PHRN) with active license.
• Active CIC or CCS certification preferred.
• Experience in inpatient medical coding and DRG validation.
• Strong knowledge of ICD-10-CM/PCS and inpatient guidelines.
• Excellent written and verbal communication; able to work independently.
• Willing to work shifting schedules, weekends and holidays, including night shifts.

Responsibilities

• Review inpatient medical records and assign ICD-10-CM/PCS codes.
• Validate DRG/APR-DRG assignments based on documentation.
• Identify documentation gaps and potential reimbursement issues.
• Ensure coding accuracy, compliance, and regulatory standards.
• Collaborate with physicians, auditors, and other healthcare professionals.
• Maintain confidentiality and comply with HIPAA and privacy regs.
• Meet quality, productivity, and turnaround-time targets.
• Stay updated on ICD-10-CM/PCS changes and coding guidelines.

Skills

Analytical thinking

Communication skills

Independent work

Night shift willingness

Shift work adaptability

Education

Philippine Registered Nurse (PHRN)

Certified Inpatient Coder (CIC) or CCS

Job description

We are looking for skilled Inpatient Medical Coders to join our Healthcare BPO team. You will be responsible for accurately reviewing inpatient medical records and assigning appropriate diagnosis and procedure codes based on official coding guidelines, documentation, and payer requirements.

Key Responsibilities

• Review inpatient medical records and clinical documentation for accurate coding and DRG assignment

• Assign appropriate ICD-10-CM and ICD-10-PCS codes based on documentation and coding guidelines

• Review and validate DRG/APR-DRG assignments

• Identify documentation gaps, coding discrepancies, and potential reimbursement issues

• Apply official coding guidelines and payer-specific requirements when applicable

• Collaborate with physicians, clinical documentation specialists, auditors, and other healthcare professionals

• Ensure coding accuracy, compliance, and adherence to client and regulatory standards

• Meet established quality, productivity, and turnaround-time (TAT) requirements

• Maintain confidentiality and comply with HIPAA and other applicable healthcare privacy regulations

• Stay updated on changes to ICD-10-CM, ICD-10-PCS, official coding guidelines, and healthcare regulations.

• Collaborate with clinical documentation, quality, audit, and operations teams as needed.

Qualification

• Must be a Philippine Registered Nurse (PHRN)

• Must have an active and valid CIC (Certified Inpatient Coder) or CCS (Certified Coding Specialist) certification

• Preferably with experience in inpatient medical coding, DRG validation, clinical documentation review, or healthcare BPO operations

• Strong knowledge of ICD-10-CM/PCS, DRG/APR-DRG concepts, and inpatient coding guidelines

• Good understanding of medical terminology, anatomy, physiology, and clinical documentation

• Strong analytical and critical-thinking skills

• Excellent written and verbal communication skills

• Able to work independently while meeting quality and productivity targets

• Willing to work on shifting schedules, weekends, and holidays as required

• Willing to work on a night shift or shifting schedule, depending on business requirements.