USRN Nurses (Clinical Documentation, Coding)

TASQ Staffing Solutions; Pasig; On-site; PHP 500,000 - 700,000; Full time

Job summary

A healthcare staffing firm based in the Philippines is seeking a CDI / DRG Specialist for an onsite position in Pasig. The ideal candidate holds a BS in Nursing, possesses a valid Medical Coding License, and has experience in U.S. healthcare. Responsibilities include clinical documentation review, DRG assignment, and compliance. Strong proficiency in medical coding and effective communication skills in English are required. Immediate start in June 2025.

Qualifications

• 6 months to 1 year of experience in a U.S. healthcare account.
• Solid understanding of disease processes and treatment management.
• 6 months to 1 year of experience in a U.S. healthcare account.
• Solid understanding of anatomy, pathophysiology, disease processes, and treatment management.
• Proficient in medical coding standards, including ICD-10-CM & PCS, DRG classifications (MSDRG, APR-DRG).
• Skilled in written English and effective in creating clinical queries.

Responsibilities

• Review patient medical records and ensure accurate documentation.
• Assign DRGs based on clinical documentation for reimbursement.
• Collaborate with coding teams to ensure alignment with documentation.

Skills

Understanding of anatomy and pathophysiology

Proficient in ICD-10-CM & PCS

Effective communication in English

Clinical queries

Education

Bachelor's degree in Nursing or related field

Valid Medical Coding License

Tools

ICD-10-CM/PCS

APR-DRG

Job description

USRN Nurses (Clinical Documentation, Coding)

About the job USRN Nurses (Clinical Documentation, Coding)

Job Title: CDI / DRG Specialist (Pasig) | Onsite
Work Arrangement/Shift: Onsite (Work From Office), Night Shift
Start Date:ASAP (this June 2025)

Qualifications:

Bachelors degree in Nursing or a related healthcare field.

Must hold a valid Medical Coding License.

6 months to 1 year of experience working in a U.S. healthcare account.

Solid understanding of anatomy, pathophysiology, disease processes, and treatment management.

Proficient in medical coding standards, including ICD-10-CM & PCS, DRG classifications (MSDRG, APR-DRG), and related clinical coding compliance.

Skilled in written English and effective in creating clinical queries.

Willing to work onsite in Ortigas, Pasig City.

Responsibilities:

1. Clinical Documentation Review & Improvement:

• Review patient medical records, including progress notes, laboratory results, and physician documentation.
• Work closely with healthcare providers to ensure that clinical documentation is accurate, complete, and up-to-date. Identify gaps in documentation and query physicians to clarify diagnoses and procedures for accurate coding.
• Ensure that the documentation supports the correct DRG (Diagnosis-Related Group) assignment and that it aligns with U.S. coding standards and guidelines.

2. DRG Assignment & Compliance:

• Assign DRGs based on the clinical documentation provided and verify that DRG codes are correct for reimbursement purposes.
• Monitor DRG trends and ensure that any discrepancies or issues are flagged and resolved in a timely manner.
• Collaborate with coding teams to ensure that medical coding aligns with clinical documentation and DRG assignments.
• Maintain a thorough understanding of DRG-based reimbursement systems and U.S. healthcare regulations (CMS, ICD-10-CM/PCS, etc.).