Sign up to access all features of our service
  • Job search
  • Favorites
  • Create a CV
    New
  • Subscriptions

IP DRG Auditor

Our Clients

We are looking for a detail-oriented and certified IP DRGV Auditor Coder to join our team. In this role, you will be responsible for reviewing clinical documentation and assigning accurate codes for inpatient encounters in compliance with coding guidelines and regulatory requirements.

Key Responsibilities

  • Review and analyze inpatient medical records to assign accurate ICD-10-CM, ICD-10-PCS, and DRG codes

  • Ensure coding accuracy, completeness, and compliance with AHIMA/AAPC standards

  • Interpret clinical documentation including physician notes, lab results, and discharge summaries

  • Query physicians when documentation is insufficient or unclear

  • Meet productivity and quality benchmarks

  • Stay updated with coding changes, payer guidelines, and compliance requirements

  • Collaborate with QA and audit teams for continuous improvement

Qualifications

  • Active certification (any of the following):

    • CPC, CCS, CIC, or CCS-P

  • Minimum 1–3 years of DRGV coding experience (acute care setting preferred)

  • Strong knowledge of:

    • ICD-10-CM / ICD-10-PCS coding

    • DRG assignment

    • Medical terminology, anatomy, and physiology

  • Experience with EMR/EHR systems and encoder tools

  • Good analytical and problem-solving skills

  • Strong attention to detail and accuracy

Preferred Qualifications

  • Experience in US healthcare / revenue cycle management

  • Exposure to auditing or quality assurance processes

  • Familiarity with payer-specific guidelines

What We Offer

  • Competitive salary package

  • Night shift differential

  • HMO and other health benefits

  • Career growth and upskilling opportunities

  • Stable and global work environment

Vacancy posted a month ago
Similar jobs that could be interesting for youBased on the IP DRG Auditor in Metro Manila vacancy
  •  ...analyzing medical documentation, applying ICD-10 coding guidelines, and utilizing MCG/InterQual criteria to support medical necessity and DRG validation. The ideal candidate has experience in clinical appeals writing, medical coding, CDI, or DRG downgrade review within a US... 
    Remote job

    Our Clients

    Metro Manila
    a month ago
  • DRG Validation Auditor [For Pooling] Position Description 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, including Commercial... 
    Taguig
    more than 2 months ago
  •  ...infrastructure transitions. Configure and maintain routing and switching environments across enterprise network platforms. Support IP-based network architecture implementation and optimization activities. Configure and support enterprise networking technologies... 

    Our Clients

    Metro Manila
    a month ago
  •  ...environments. Install, configure, and support network technologies including routing, switching, and DDI platforms (DNS, DHCP, IP address management). Project Delivery & Migration Support Lead or support end-to-end network deployment and infrastructure... 

    Our Clients

    Metro Manila
    a month ago
  •  ...firewalls across Cisco (ASA/FTD/FMC), Palo Alto Networks (PAN-OS, Panorama), and Fortinet (FortiGate, FortiManager). Strong knowledge of TCP/IP, OSPF, BGP, EIGRP, IPSec, SNMP, STP, VTP, and VLANs. Familiarity with network infrastructure in virtualized environments (VMware or... 

    Acxelsus

    Metro Manila
    a month ago
  •  ...Incident Response team following established escalation procedures Prepare concise handoff summaries including affected users, systems, IP addresses, and relevant investigation findings Maintain accurate and detailed documentation within ticketing and incident... 

    Our Clients

    Metro Manila
    a month ago
  •  ...Job Summary:   The IP Coding Appeals Specialist is responsible for reviewing inpatient (IP) coding denials,  preparing and  submitting...  ...~ Review and analyze inpatient coding denials from payers (e.g., DRG downgrades, medical necessity denials)   ~ Interpret medical... 

    Health Business Solutions LLC

    Manila
    more than 2 months ago
  •  ...network trunks and customer circuit alarms generated from the Network Management and Surveillance Alarm Monitoring Systems for PCCW Global IP Network  Support Tier-1 maintenance and fault diagnostic on network fault and coordinate with Tier-2 or Tier-3 IP engineering team... 

    hktservice

    Manila
    22 days ago
  •  ...Certified Public Accountant qualification Exposure to shared services or financial services environments Experience working with auditors and regulators About Us JPMorganChase, one of the oldest financial institutions, offers innovative financial solutions to... 

    JPMorgan Chase & Co.

    Metro Manila
    9 days ago
  •  ...Ensure alignment with BSP regulations and other applicable compliance requirements. Coordinate with regulators and external auditors during examinations and audits. Support the organization in maintaining a strong compliance and governance culture. Leadership... 

    Our Clients

    Metro Manila
    a month ago
  •  ...Responsibilities: • Review inpatient medical records to validate principal diagnosis, secondary diagnoses (CC/MCC), procedures, and DRG assignment. • Analyze payer denials involving: o DRG downgrades o Removal of CC/MCC o Clinical validation denials o Coding validation... 

    Health Business Solutions LLC

    Manila
    more than 2 months ago
  •  ...recommendations and corrective action plans. Regulatory & Stakeholder Management Coordinate with regulators, external auditors, and other stakeholders during examinations and reviews. Prepare audit reports and presentations for Executive Management and the... 

    Our Clients

    Metro Manila
    a month ago
  •  ...Auditor Location: Makati City Work Setup: On-site Employment Type: Full-time Job Summary We are looking for an Auditor to conduct financial, operational, and compliance audits for clients across various industries. The role requires strong... 

    Our Clients

    Makati
    24 days ago
  • The Global Accounting firm provides services to businesses in the world. Currently working with big companies in Japan and In Europe. This is an expert firm giving consulting services. The company offers accounting services to big names around the globe,
    Makati
    23 days ago
  •  ...systems to address Revenue Cycle under-performance. The Coding Auditor will perform detailed reviews of medical documentation and coding...  ...of ICD-10, CPT, and HCPCS coding systems, and familiarity with DRG, E/M coding. Bachelor's degree: in Nursing, or any Medical or... 

    Health Business Solutions LLC

    Manila
    more than 2 months ago
  •  ...About the Role  We are looking for an  analytical and detail-oriented  Internal Auditor to join our team. In this role, you will play a vital part in safeguarding the company's financial integrity by assessing internal controls, identifying risks, and ensuring compliance... 

    Focus Global Inc.

    Taguig
    17 days ago
  •  ...Job purpose: To provide Level2 operations support, provisioning of IP based services and ad hoc on-site support to PCCW Global client base, and ad hoc “smart hands” support to other Business Units. Key responsibilities: Carry out effective & quality customer... 

    hktservice

    Manila
    9 days ago
  •  ...Location: Makati City Work Set-up: Fully Onsite | Dayshift | Monday - Friday The Auditors/Accountants are responsible for performing accounting and audit-related functions, ensuring the accuracy of financial records, compliance with applicable accounting standards... 

    Our Clients

    Makati
    11 days ago
  •  ...External Auditor Location: Metro Manila Work Schedule: Monday to Friday Work Set-up: On-site Job Overview We are seeking an experienced External Auditor to perform independent audits and ensure compliance with accounting and regulatory... 

    Our Clients

    Makati
    29 days ago
  •  ...alignment with industry frameworks and regulatory standards such as ISO 27001, NIST, COBIT, SOX HIPAA and GDPR. Coordinate with auditors and intemal stakeholders to provide supporting evidence, documentation, and process improvements. Security Governance &... 

    PermHunt

    Metro Manila
    more than 2 months ago
  •  ...The expense auditor will be responsible for supporting the end-to-end in staff expenses process.  You will work with the onshore Expense Team Functional Leader and offshore Expense Auditor Supervising Associate.   The overall purpose of the role is : ·    Perform... 

    Ernst & Young

    Taguig
    1 day ago
  •  ...Internal Auditor Location: Metro Manila Work Schedule: Monday to Friday Work Set-up: On-site Job Overview We are looking for an analytical Internal Auditor to evaluate internal controls, identify risks, and recommend improvements to strengthen... 

    Our Clients

    Makati
    29 days ago
  •  ...Position Overview Job Title: Principal Auditor Corporate Title: Assistant Vice President Location: Manila Overview As a global function of approximately 850 team members, Group Audit (GA) is the bank's 'Third Line of Defense' acting as an independent... 
    Manila
    8 days ago
  • Audit | Advisory & Technology | Multiple Professional Opportunities We are looking for experienced professionals to join our growing team across Audit, Advisory, Technology, Sustainability, and Learning & Development functions. Work Location: Makati, BGC, and...

    Our Clients

    Makati
    16 days ago
  •  ...Position Overview Job Title: Auditor Corporate Title: Associate Location: Manila Overview As a global function of approximately 850 team members, Group Audit (GA) is the bank's 'Third Line of Defence' acting as an independent and forward-looking challenger... 
    Manila
    a month ago
  • Primary Skill: Infoblox Secondary skill: Firewall Fortinet , Routing ,Switching JD: Key Stakeholders Regional and Global Network Teams, Security Teams, Wider Technology Support teams and management, Application/Business Support. Other Responsibilities...

    ETeam PH

    Makati
    a month ago
  •  ...Junior Auditor (Accounting Advisory Firm) Location: Makati City Work Setup: On-site Employment Type: Full-time Job Summary The Junior Auditor will support audit and advisory engagements by performing audit testing, preparing documentation... 

    Our Clients

    Makati
    24 days ago
  • Company Description Fairmont Makati is a sophisticated urban retreat in the heart of Manila’s financial and commercial district, offering 280 elegantly appointed rooms and suites designed for comfort and refinement. Nestled within Makati’s dynamic cityscape, the...

    FAIRMONT

    Makati
    a month ago
  •  ...staffing requirements, lead recruitment, and provide coaching and career growth opportunities for the IA team. • Collaborate with IT auditors to enhance methodologies through data analytics and implement operational excellence initiatives. • Periodically refresh risk... 

    WHR Global Consulting

    Metro Manila
    more than 2 months ago
  •  ...SOC 2 Compliance Auditor Location: Makati City Work Setup: On-site Shift: Day Shift Job Summary The SOC 2 Compliance Auditor will be responsible for evaluating client environments against SOC 2 Trust Services Criteria, performing compliance... 

    Our Clients

    Makati
    24 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to IP DRG Auditor. Be the first to apply!