IP DRG Auditor

PM Consulting; Metro Manila; On-site; PHP 400,000 - 700,000; Full time

Benefits offered by this job

Competitive salary package

HMO and health benefits

Career growth and upskilling

Job summary

PM Consulting is seeking a certified IP DRGV AuditorCoder to review inpatient records and assign precise ICD-10-CM, ICD-10-PCS, and DRG codes in line with coding guidelines and regulatory mandates. You will interpret physician notes, lab results and discharge summaries, while querying clinicians when documentation is unclear.

The role requires 1–3 years of DRGV coding experience in acute care and strong knowledge of medical terminology and encoder tools.

Qualifications

• Active certification CPC/CCS/CIC/CCS-P (any)
• 1–3 years of DRGV coding experience (acute care preferred)
• Strong knowledge of ICD-10-CM/ICD-10-PCS and DRG assignment
• Medical terminology, anatomy & physiology
• Experience with EMR/EHR systems and encoder tools
• Good analytical and problem-solving skills
• Strong attention to detail and accuracy

Responsibilities

• Review inpatient medical records to assign accurate ICD-10-CM, ICD-10-PCS and DRG codes
• Ensure coding accuracy, completeness and regulatory compliance (AHIMA/AAPC)
• Interpret physician notes, labs and discharge summaries
• Query physicians when documentation is unclear or insufficient
• Meet productivity and quality benchmarks
• Stay updated with coding changes and payer guidelines
• Collaborate with QA and audit teams for process improvement

Skills

Attention to detail

Analytical thinking

US healthcare knowledge

Tools

EMR/EHR systems encoder tools

Job description

We are looking for a detail-oriented and certified IP DRGV AuditorCoder to join our team. In this role, you will be responsible for reviewing clinical documentation and assigning accurate codes for inpatient encounters in compliance with coding guidelines and regulatory requirements.

Key Responsibilities

Review and analyze inpatient medical records to assign accurate ICD-10-CM, ICD-10-PCS, and DRG codes

Ensure coding accuracy, completeness, and compliance with AHIMA/AAPC standards

Interpret clinical documentation including physician notes, lab results, and discharge summaries

Query physicians when documentation is insufficient or unclear

Meet productivity and quality benchmarks

Stay updated with coding changes, payer guidelines, and compliance requirements

Collaborate with QA and audit teams for continuous improvement

Qualifications

Active certification (any of the following):

CPC, CCS, CIC, or CCS-P

Minimum 1-3 years of DRGV coding experience (acute care setting preferred)

Strong knowledge of:

ICD-10-CM / ICD-10-PCS coding

DRG assignment

Medical terminology, anatomy, and physiology

Experience with EMR/EHR systems and encoder tools

Good analytical and problem-solving skills

Strong attention to detail and accuracy

Preferred Qualifications

Experience in US healthcare / revenue cycle management

Exposure to auditing or quality assurance processes

Familiarity with payer-specific guidelines

What We Offer

Competitive salary package

HMO and other health benefits

Career growth and upskilling opportunities