Client Partner – Inpatient DRG Nursing Auditor

Grow your career with access healthcare!

Join our team in Manila as Inpatient DRG Nursing Auditor. If you’re a registered nurse with experience in medical coding and a passion for ensuring accurate billing and coding practices, we want to hear from you! Apply now and take the next step in your career today.

Work location: Mckinley Hill, Taguig City

Key responsibilities

  • Conduct initial audit reviews to validate billed diagnoses and DRG code are supported by medical records

  • Record audit results and document finding notes based on policies using professional clinical resources

  • Perform provider appeals reviews and render decision to either uphold or overturn original finding

  • Review questionable encoder results, complex cases, and appeal reviews to facilitate referrals to clinical department as needed

  • Propose new audit concepts supported by your research and analysis

  • Define new audit concept criteria and test and validate new concepts developed by analytics team

  • Escalate facility issues per client guidance

Job Requirements

  • Good Comprehension skills

  • Strong attention to detail and communication skills

  • Curious and willing to ask relevant questions

  • Ability to understand client guidelines related to insurance advantage claims

Qualifications

  • Must be Philippine Registered Nurse with Active license

  • Must have an experience in clinical and audit in IP DRG

More Ways to Apply

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Know a friend who would like to work for us? Refer and Earn money when they complete 90 days with Access Healthcare.  Please note that you will need to  connect your Facebook account.