Inpatient DRG Specialist | Coding Auditor (Onsite)

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

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.