Inpatient DRG Coder — Audit, Appeals & Compliance

Private Advertiser; Philippines; Remote; PHP 420,000 - 600,000; Full time

Job summary

Private Advertiser is seeking an Inpatient DRG Coder to join our IP DRG team. You will determine if discrepancies exist in coding and clinical documentation using standard guidelines.

Responsibilities include conducting initial audit reviews, recording results, handling provider appeals, reviewing complex cases, and proposing audit concepts with analytics support. Requirements: at least 2 years' experience as an Inpatient DRG Coder, an active AAPC/AHIMA license, and proficiency in ICD-10 and

Qualifications

• Must have at least 2 years of inpatient DRG coding experience.
• Active coding license from AAPC or AHIMA is required.
• Proficiency in ICD-10 and PCS coding systems.
• Strong analytical and problem‑solving skills.
• Excellent attention to detail and accuracy.
• Familiarity with healthcare compliance and documentation standards.
• Willing to report at Pasay City.

Responsibilities

• Conduct initial audit reviews to validate billed diagnoses and DRG code are supported by medical records.
• Record audit results and document finding notes based on policies using professional clinical resources.
• Perform provider appeals reviews and render decision to either uphold or overturn original finding.
• Review questionable encoder results, complex cases, and appeal reviews to facilitate referrals to clinical department as needed.
• Propose new audit concepts supported by your research and analysis.
• Define new audit concept criteria and test and validate new concepts developed by analytics team.
• Escalate facility issues per Devoted guidance.

Skills

Inpatient DRG coding

ICD-10 coding

Analytical skills

Attention to detail

Job description

Private Advertiser is seeking an Inpatient DRG Coder to join our IP DRG team. You will determine if discrepancies exist in coding and clinical documentation using standard guidelines.

Responsibilities include conducting initial audit reviews, recording results, handling provider appeals, reviewing complex cases, and proposing audit concepts with analytics support. Requirements: at least 2 years' experience as an Inpatient DRG Coder, an active AAPC/AHIMA license, and proficiency in ICD-10 and