RN: DRG Audit & Coding (Hybrid, Davao)

Optum, a UnitedHealth Group Company; Davao City; On-site; PHP 536,000 - 692,000; Full time

Benefits offered by this job

Sign-on Bonus

Hybrid Set-up

Retention Bonus

Medical Plan (HMO)

CPD support

Career development

Job summary

Optum is seeking a Nursing professional for the DRG Validation Audit Program in Davao. You will determine whether coding on a claim submission is supported by medical record documentation and ensure compliance with Official Coding Guidelines.

This full-time onsite role offers a sign-on bonus, a retention bonus, and a hybrid setup, with a path to certification and professional development opportunities.

Qualifications

• Audits to verify coding aligns with medical records.
• Knowledge of Official Coding Guidelines and ICD coding standards.
• Ability to interpret documentation and ensure compliant billing.

Responsibilities

• Audit claims to verify documentation supports coding.
• Ensure codes align with Official Coding Guidelines and ICD manuals.
• Collaborate with healthcare teams to resolve coding discrepancies.

Skills

Auditing

Medical coding

Clinical documentation

Education

BS Nursing with active PHRN license

Job description

Optum is seeking a Nursing professional for the DRG Validation Audit Program in Davao. You will determine whether coding on a claim submission is supported by medical record documentation and ensure compliance with Official Coding Guidelines.

This full-time onsite role offers a sign-on bonus, a retention bonus, and a hybrid setup, with a path to certification and professional development opportunities.