Medical Coder
Medical Coder
Insight Global2-4 Years
- Posted a day ago
- Be among the first 10 applicants
Job Description
Position: Sr. CDI/DRG Specialist
Location: Onsite/Hybrid Monday to Friday (Shift 1 or 2 - Daytime)
Address: Mandaluyong, Philippines
Salary: 100k-140k PHP Monthly + Benefits
What we're looking for:
- RN, CCS, CPC, CCDS, or CDIP credential
- 2+ years of inpatient coding, CDI, or DRG validation experience
- Hands-on experience auditing inpatient charts for U.S. hospitals
- Strong knowledge of ICD-10-CM/PCS coding guidelines and MS-DRG assignment
- Experience reviewing CC/MCC capture, clinical validity, and documentation quality
- Understanding of physician documentation standards and coding compliance requirements
- Familiarity with CMS regulations and Coding Clinic guidance
Key responsibilities:
- Perform retrospective inpatient DRG audits for U.S. hospital clients
- Validate principal diagnoses, secondary diagnoses, procedures, and DRG assignments
- Review charts for accurate CC/MCC capture, SOI/ROM, and clinical validity
- Identify DRG shifts, missed diagnoses, coding opportunities, and documentation gaps
- Provide clear audit findings supported by clinical and coding rationale
- Document audit results within client tools and reporting templates
- Collaborate with CDI, coding, quality, and audit teams
- Support compliance, reimbursement integrity, and audit readiness initiatives
More Info
Key Skills
MS-DRG assignment
CMS regulations
DRG validation
PCS coding guidelines
CCDS
documentation quality
clinical validity
Coding Clinic guidance
CDIP
physician documentation standards
coding compliance requirements
ICD-10-CM
RN
CC MCC capture
About Company
Skills:
Hcpcs, COC certification, ICD-10, CPC certification, CMS Medicaid regulations, Cpt, AAOS, Medical Coding, Denial Management
Skills:
Ms Excel, JIRA, Billing, ICD-10-CM coding, MS Access, MS Project, Medical Coding, Visio, Ms Word, Claims Processing, Sharepoint