DRG Validator - Pasay, Metro Manila

We are hiring DRGV Auditors. · At least 2+ years of work experience in IP Medical Coding in DRGV Auditing, · Bachelor's degree in any medical allied course, · Successful completion of inpatient certification program from AHIMA (CCS) or AAPC (CIC), · Experience in EMR systems such ...

Este papel combina gestión de utilización, revisión de necesidades médicas y auditoría de DRG para garantizar atención médica apropiada e integral. · US Registered Nurse (RN) con licencia activa actualizada. · ...

The DRG Validation Auditor is responsible for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of health plans. · ...

The DRG Validation Auditor is responsible for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of health plans. · Reviews inpatient medical records to validate assignment and sequencing of ICD-9-CM and ...

We are currently looking for DRG Validator to be part of our DRG team. · Clinical validation of billed diagnoses that impact DRG · ...

We are seeking skilled and detail-oriented Inpatient (IP) and Outpatient (OP) Medical Coders to join our growing team. · Assign accurate ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures. · Ensure correct MS-DRG assignment and compliance with official coding guidelines. ...

The QA Specialist ensures accuracy, · compliance,and integrity of hospital medical coding for inpatient and outpatient records.Minimum 3-5 years of hospital coding experience; · 1-2 years in QA or auditing preferred. · ...

The QA Specialist ensures accuracy, compliance, and integrity of hospital medical coding for inpatient and outpatient records. · ...

The QA Specialist ensures accuracy, compliance, integrity of hospital medical coding for inpatient outpatient records. Audits coded encounters validates DRG/APC assignments supports coding teams through education feedback. · Conduct retrospective concurrent audits of hospital-cod ...

Audits within the DRG Validation Audit Program involve determining whether coding on a claim submission is supported by medical record documentation.They also check if the codes are in accordance with industry coding standards as outlined by the Official Coding Guidelines, · the ...

Audit inpatient outpatient and day-surgery records. Validate ICD-10 CPT HCPCS codes Review DRG/APC assignments sequencing Document audits maintain QA reports. · ...

ASP RCM Solutions Inc. is looking for a Medical Coding QA Specialist to review and ensure the accuracy and compliance of hospital medical coding for inpatient and outpatient cases. · ...

ASP RCM Solutions Inc. is looking for a Medical Coding QA Specialist. · ...

About the Role: The team leader will review hospital medical coding records for accuracy and compliance. They must have experience using EMR systems. · ...

The QA Specialist ensures accuracy, compliance, and integrity of hospital medical coding for inpatient and outpatient records. · ...

Responsible to manage a team of clinicians and/or medical coders charged with promoting quality member outcomes. · Suggests and develops high quality, high value concept recommendations. · ...

Audits within the DRG Validation Audit Program involve determining whether coding on a claim submission is supported by medical record documentation. · BS Nursing with active PHRN licenseWith at least 1 year Hospital bedside experienceMust be willing to accept 2 year training bon ...

Audits within the DRG Validation Audit Program involve determining whether coding on a claim submission is supported by medical record documentation. · ...

We are looking for a detail-oriented and knowledgeable IP Medical Coding Auditor to join our team. Conduct audits of coded medical records to identify potential undercoding or upcoding. · Conduct audits of coded medical records · ...

As Manager Medical Management you will lead team clinicians medical coders responsible clinical audits medical policy adherence coding accuracy. · Manage lead clinicians medical coders delivering complex clinical coding audits · Ensure adherence to medical policy member benefits ...