Tektite HR Solutions- Recruiters Empowering Talent MSDRG Nurse (DRG Validation Auditor)

MSDRG Nurse (DRG Validation Auditor)

Tektite HR Solutions- Recruiters Empowering Talent

Urgent

＄1-1.2K[Monthly]

Hybrid - Taguig3-5 Yrs ExpBachelorFull-time

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.

Inpatient CodingOutpatient CodingWork IndependentlyICD-10-CM/PCSDRG Assignment (MS/APR)HAC/POA ValidationData AnalysisMicrosoft OfficeCritical ThinkingDetail-Oriented