Medical Auditor

On-site - Quezon City 1-3 Yrs Exp Bachelor Full-time

Job Description

Government Mandated Benefits

Insurance Health & Wellness

Life Insurance, HMO

Duties and Responsibilities

• Review inpatient medical records for validation of DRG (Diagnostic-related Groups) assignment.
• Provide detailed rationale and supporting evidence for recommendations and findings.
• Utilize industry-recognized references to support their review findings, such as the ICD 10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding,
• AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics.
• Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software,
• Meditech etc. will be added advantage.

Qualifications

• Active CIC, CPC or CCS Certification
• PHRN is an advantage
• College Graduate of BS Nursin...