MSDRG Nurse (DRG Validation Auditor)
Tektite HR Solutions- Recruiters Empowering Talent
Job Description
Benefits
Employee Recognition and Rewards
Annual Appraisal, Employee Recognition Program, Incentives
Insurance Health & Wellness
HMO
Perks Benefits
Training Subsidy
Professional Development
Job Training, Professional Development
Time Off & Leave
Family Medical Leave, Vacation Leave
Work-Life Balance
Flexible Hours, Work from Home
- Conduct regular audits of medical records for MS-DRG compliance.
- Analyze documentation to ensure accuracy and completeness in coding.
- Review paid claims to identify overpayments or underpayments from hospitals, rehabilitation centers, and skilled nursing facilities.
- Collaborate with clinical staff to educate on DRG guidelines.
- Prepare reports on audit findings and recommend process improvements.
- Stay updated on CMS regulations and coding standards.
- Ongoing training is provided for coding updates and audit protocols.
- Educational Qualifications: Bachelor’s degree in Nursing or related field required.
- Experience Level: 3-5 years of experience in inpatient and outpatient coding.
- Skills and Competencies: Proficient in ICD-10-CM/PCS, DRG assignment (MS/APR), HAC/POA validation, data analysis, and Microsoft Office.
- CCS certification.
- Working Conditions: Primarily office-based with potential remote work options; flexible hours may be required.
- Amenable to Taguig hybrid work & night shift.
- Experience mentoring junior coders.
- Qualities and Traits: Detail-oriented, critical thinker, self-motivated, and able to work independently.
Bayacham Yashim
OwnerTektite HR Solutions- Recruiters Empowering Talent
Working Location
2nd Floor, One World Square
Posted on 19 August 2025
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