IP DRG Auditor - Medical Coder (Ortigas, Alabang, Clark)

Ingenious Solutions Inc.; Pasig; On-site; PHP 334,800 - 446,400; Full time

Job summary

A leading healthcare solutions company in the Philippines is seeking an IP DRG Auditor. The role involves abstracting, coding, and sequencing medical diagnoses and treatments as per classification systems. Candidates must have an active AAPC or AHIMA License and solid inpatient experience, preferably with DRG auditing. This position is onsite during night shifts. Join our team to enhance coding accuracy and ensure compliance with official guidelines.

Qualifications

• Must have an active AAPC or AHIMA License.
• DRG Auditor should have solid IP experience with experience in DRG Auditing.
• Preferred to have someone with auditing experience.
• Amenable to work onsite (nightshift).

Responsibilities

• Responsible for abstracting, coding, and sequencing diagnoses, procedures, and treatments according to classification systems.
• Review provider documentation to determine principal diagnosis, co-morbidities, and surgical procedures.
• Assign Present on Admission (POA) values for inpatient diagnoses.
• Assign correct diagnostic related grouping (DRG) and perform coding compliance reviews.

Skills

Active AAPC or AHIMA License

Solid IP experience

DRG Auditing experience

Auditing experience

Job description

Ingenious Philippines is hiring! We are looking forIP DRG AuditorinAlabang, Ortigas and Clark!

Qualification:

• Must have an active AAPC or AHIMA License
• DRG Auditor should have solid IP experience with experience in DRG Auditing.
• Preferred to have someone with auditing experience.
• Amenable to work onsite (nightshift)

Responsibilities:

• Responsible for abstracting, coding, and sequencing diagnoses, medical/surgical procedures, and treatment modalities according to appropriate classification system [International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM and PCS), American Medical Association Current Procedural Terminology (CPT) coding system, and Healthcare Common Procedure Coding System (HCPCS)] for inpatient encounters, meeting productivity and quality measures daily.
• Review appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures.
• Assign Present on Admission (POA) value for inpatient diagnoses as a supplement for ICD-10 CM coding.
• Assign correct diagnostic related grouping (DRG) and perform coding compliance reviews. Follow official coding guidelines to review and analyze health records.