Drg - 27+ job offers

Key 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 disputes. • Prepare clear,

Key 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 disputes • Prepare clear, con

Carelon Global Solutions

Position Title: DRG Clinical Validation Auditor (PHL) Shift: Job Description: Responsible for collaborating with healthcare providers, medical directors, and members to ensure medically appropriate, high quality, and cost effective care. This role combines utilization management, medical necessity r

Carelon Global Solutions

Position Title: DRG Clinical Validation Auditor (PHL) Shift: Job Description: Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. • Primary duti

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 and Government Clients. Your future duties and responsibilities: 

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 and Government Clients. Your future duties and responsibilities: 

Carelon Global Solutions

Position Title: DRG Clinical Validation Auditor - Manila Shift: Job Description: "Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. • Primary

Carelon Global Solutions

Position Title: DRG Clinical Validation Auditor - Iloilo Shift: Job Description: "Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. • Primary

Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-Metrix! Experience these exceptional benefits when you j

*Discover your 100% YOU with MicroSourcing!** *Position:** Medical Coding Manager - Inpatient DRG *Location:** BGC, Taguig City *Work setup & shift:** Onsite | Day shift *Sign-on bonus: 300,000\*** *Why join MicroSourcing?** *You'll Have:** Competitive Rewards: Enjoy above-market compensation, h

LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES. We are hiring for DRGV Auditors! About the role: As a DRG Validation Auditor , your primary role will be a uditing inpatient cases to validate DRG and/or documentation improvement . This consists of r eviewing accounts in proprietary softw

MicroSourcing

*Discover your 100% YOU with MicroSourcing!** *Position:** Medical Coding Manager - Inpatient DRG *Location:** Taguig *Work setup & shift:** Onsite | Day shift *Sign-on bonus: 300,000\*** *Why join MicroSourcing?** *You'll Have** Competitive Rewards: Enjoy above-market compensation, healthcare c

We are hiring for a Medical Coder - Inpatient DRG (IPDRG) for a client based in BGC, Taguig. This is an Onsite work following a Dayshift schedule. Salary is up to ₱120,000.00 based on experience. Main Requirements: Coding Experience: At least 2 years of Inpatient DRG Coding experience . Education: B

We are hiring for a Medical Coder - Inpatient DRG (IPDRG) for a client based in BGC, Taguig. This is an Onsite work following a Dayshift schedule. Salary is up to ₱120,000.00 based on experience. Main Requirements: Coding Experience: At least 2 years of Inpatient DRG Coding experience . Education: B

Med-Metrix

*Position Summary:** We are seeking a detail-oriented and experienced Medical Coding QA Supervisor with specialized expertise in Inpatient DRG Coding to lead our quality assurance team. The ideal candidate will oversee the auditing task of QAs, ensure compliance with regulations and organizational s

LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES. We are hiring for DRGV Auditors! About the role: As a DRG Validation Auditor , your primary role will be a uditing inpatient cases to validate DRG and/or documentation improvement . This consists of r eviewing accounts in proprietary softw

LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES. We are hiring for DRGV Auditors! About the role: As a DRG Validation Auditor , your primary role will be a uditing inpatient cases to validate DRG and/or documentation improvement . This consists of r eviewing accounts in proprietary softw

MicroSourcing

Discover your 100% YOU with MicroSourcing! Position: Medical Coding Manager - Inpatient DRG Location: BGC, Taguig City Work setup & shift: Onsite | Day shift Sign-on bonus: 300,000* Why join MicroSourcing? You'll Have: Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day

Nezda Technologies, Inc.

🚀 Join a Growing Team | Onsite | Night Shift - Competitive Pay! 📍 Iloilo City Looking for a rewarding career in healthcare and BPO? Expanding teams are seeking driven, passionate professionals to grow and excel. If you thrive in a dynamic environment and are ready to take your career to the next l

SALES RAIN BPO, INC.

*Key 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 disputes Prepare clear, conc