Drg Jobs In Philippines - 44 Job Positions Available

Join us to be our next Clinical Appeals DRG Nurses in Quezon City and Cebu City! Qualifications & experience Clinical Appeals Writing Experience (6 months to 1+ year) familiar with DRG downcode or coding appeals) Familiar with use

Now hiring – DRG Validator (Specialist)
Location: Quezon City
Work setup: Onsite
Salary: ₱70K – ₱80K + allowances Requirements: * Active CIC, CCS, or CPC * Medical Allied graduate * At least 2 years DRG/IP auditing experience * PHRN required...

Job Summary The Clinical Documentation Improvement (CDI) Specialist is responsible for reviewing clinical documentation to ensure accuracy, completeness, and compliance with regulatory and coding requirements. The role focuses on improving the quality of physician documentation to

Quality Analyst is responsible to perform activities outlined in the Service Quality Plan and identify auditor / program level improvement opportunities. QA Analyst is required to work closely with the production resources to ensure adherence to

Responsibilities: Analyze reimbursement performance by comparing expected vs. actual payments and identifying trends, variances, and financial risks. Develop payer benchmarking, revenue trend analysis, and financial forecasting to support leadership decision-making. Build and enhance contract and reimbursement

Job Purpose The Medical Coding Academy Training Manager is responsible for designing, implementing, and managing comprehensive training programs for inpatient and outpatient medical coders. This role ensures coders are equipped with the necessary knowledge, skills, and

Join our dynamic team and make a meaningful impact in the healthcare industry. Youll play a pivotal role in ensuring accurate claims processing while advancing your career in a supportive and innovative environment. 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 join Med-Metrix! 8-Hour Shifts, Fixed Weekends Off Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Free Lunch Daily Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal Mobility Job Purpose   The Quality Analyst, Inpatient Coding collaborates with internal staff in the development of improved capabilities in the areas of documentation, coding, and compliance. The Quality Analyst, Coding will assess and review the overall quality of coding on accounts completed by Medical Coders. The Quality Analyst, Coding, ensures adherence to workflows and ethical coding. The position requires advanced knowledge of professional coding (CPT, ICD-10-CM and HCPCS).  The Quality Analyst, Inpatient Coding is responsible for designing and implementing quality coding review programs and communicating review findings and recommendations to coding management. The position obtains statistics and the information necessary to assess risk for all areas of coding.   Duties and Responsibilities  Sets team direction, resolves problems and provides guidance to members of own team Lead, coach, recognize and develop a team of Employees in all aspects of the job to meet objectives and maintain company culture, polices, goals and procedures  Administer the Quality Assessment process to ensure all quality standards/targets can be met  Daily management of all operational processes to ensure that quality, efficiency and productivity standards/targets are met  Acts as client contact for day-to-day operational issues and staff assignments. Escalate any client concerns immediately to Medical Coding Manager or General Manager.  Review and analyze reports, records, and data to meet and exceed client and company objectives.  Collaborate with all workgroups to resolve issues that impact internal and external customers.  Rewarding and disciplining employees; addressing complaints and resolving problems  Look constantly for development as well as continuous improvement for the entire team.  Ensure that the employees follow their schedules properly as designed.  Strive for new ways to increase the opportunities of efficient, accurate work assignments.  Handle complaints, questions, and queries as necessary.  Documenting general reports on each team member’s performance and targets as well as ensuring that they exceed the targets.  Monitor systems to ensure optimal performance.  Disseminates changes in guidelines and rules; monitor changes in laws, regulations, and policies that impact clinical documentation, reimbursement to assure compliance.  Foster an environment of teamwork and service excellence within the department.  Participate in performance improvement activities. 

Clinical Documentation Improvement (CDI) specialists are responsible for improving the overall integrity of medical records documentation. Their responsibilities can vary based on an individuals specific job, company, or industry. Here are some general clinical documentation improvement

We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS)! Responsibilities: Reviewed inpatient medical records and assigned accurate ICD-10-CM and PCS codes for diagnoses and procedures. Assigned

R1 RCM PHILIPPINES, INC . is a leading provider of technology-driven, end-to-end revenue cycle solutions that transform the patient experience and financial performance of healthcare providers. R1 RCM Philippines serves as a strategic hub for global

We are currently hiring Inpatient Medical Coders for our Cebu office. Registered Nurses who have recently acquired their CIC or CCS certification are encouraged to apply and start their coding career with us. General Summary: We

Quality Analyst is responsible to perform activities outlined in the Service Quality Plan and identify auditor / program level improvement opportunities. QA Analyst is required to work closely with the production resources to ensure adherence to

Share your expertise and help shape the next generation of medical coders! As a Medical Coder Trainer , youll play a key role in developing coding professionals through engaging training sessions, structured learning programs, and hands-on

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the

PRINCIPLE PURPOSE OF JOB: We are currently seeking Team Leaders to support a growing client base and manage the day-to-day operational activities of the production team and to help stabilization of the process combining their clinical

JOB SUMMARY: We are seeking a detail-oriented and experienced Inpatient Medical Coder to join our growing team of coding professionals. In this role, you will be responsible for accurately assigning medical codes and ensuring compliance with