Drg Auditor

Company: Change Healthcare Philippines Inc

Website: https://changehealthcare.com

Overview: Change Healthcare is a leading independent healthcare technology and business solutions company that offers software, analytics, network solutions, and technology-enabled services to help create a stronger, more collaborative healthcare system. We help deliver measurable value not only at the point of care, but also before, after, and in between care episodes.

Change Healthcare provides data and analytics-driven solutions and services to help improve clinical, financial, and patient engagement outcomes. We work with payers and providers who want to improve clinical decision-making, simplify billing, collection, payment processes, and enable a better patient experience.

Job Title: DRG Auditor

Location: BGC, Taguig

Salary: Competitive, Dependent on experience

Shift Schedule: Night Shift

Job Summary:

The DRG Auditor has an extensive coding and reimbursement background and is responsible for auditing inpatient medical records and assigning ICD-10 diagnosis and procedure codes in accordance with the ICD-10 Official Coding Guidelines and AHA Coding Clinic Guidelines.

The DRG Auditor also screens claims data and responds to provider appeals, rebuttals, and disputes. The DRG Analyst works closely with Clinical Validation Auditors to refer audits for clinical review.

Qualifications:

· Minimum of 3 years of experience as an acute inpatient coder or related coding experience

· Competency in ICD-10 CM & PCS

· Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS)

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