Remote IP DRG Auditor & Validator — Compliance Expert

RSD Human Resource Management Consultancy; Philippines; On-site; PHP 600,000 - 900,000; Full time

Job summary

RSD Human Resource Management Consultancy is seeking a full-time IP DRG Auditor/Validator for a remote role. You will audit inpatient coding, verify ICD-10-CM/PCS codes, and confirm DRG groupings while identifying documentation gaps.

Prepare audit findings, provide education to coding and clinical teams, and monitor payer guidelines and regulatory changes to ensure compliant reimbursements. Strong attention to detail and ability to work independently are essential.

Qualifications

• Experience in inpatient coding and DRG auditing.
• Strong understanding of ICD-10-CM/PCS and DRG grouping.
• Familiarity with healthcare compliance, payer requirements, and coding standards.

Responsibilities

• Audit inpatient records to verify ICD-10-CM/PCS codes and accurate DRG groupings.
• Prepare clear audit findings and provide actionable feedback to coding and clinical teams.
• Monitor regulatory changes and payer guidelines to support audit readiness and reduce compliance risks.

Skills

Inpatient coding

DRG validation

ICD-10-CM/PCS

Data analysis

Regulatory compliance

Communication (written/verbal)

Education

CCS/CIC/RHIA/RHIT or equivalent

Job description

RSD Human Resource Management Consultancy is seeking a full-time IP DRG Auditor/Validator for a remote role. You will audit inpatient coding, verify ICD-10-CM/PCS codes, and confirm DRG groupings while identifying documentation gaps.

Prepare audit findings, provide education to coding and clinical teams, and monitor payer guidelines and regulatory changes to ensure compliant reimbursements. Strong attention to detail and ability to work independently are essential.