Join Access Healthcare Manila as a Inpatient DRG Nursing Auditor.We are seeking talented individuals to join our team and help drive our success. Apply now and take the next step in your career today.
Job Description:

• Conduct initial audit reviews to validate billed diagnoses and DRG code are supported by medical records
• Record Audit results and document finding notes based on policies using professional clinical resources
• Perform provider appeals reviews and render decision to either uphold or overturn original finding
• Review questionable encoder results, complex cases, and appeal reviews to facilitate referrals to clinical department as needed
• Propose new audit concepts supported by your research and analysis
• Define new audit concept criteria and test and validate new concepts developed by analytics team

Escalate facility issues per client guidance
Qualifications:

• Must be Philippine Registered Nurse (with Active license)
• Must have an experience in clinical and audit in IP DRG
• Good Comprehension and writing skills are required to provide the findings to physician
• Curiosity and willingness to ask questions
• Strong attention to detail, organized and thorough
• Strong verbal and written communication skills
• Ability to understand client guidelines related to insurance advantage claims

Benefits:

• Annual Salary Increase (based on performance)
• 20% Night Differential Pay
• HMO on Day 1
• Life Insurance on Day 1
• 25 Leaves per year
• Free Shuttle

Job Type: Full-time
Pay: Php40,000.00 - Php55,000.00 per month
Benefits:

• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Promotion to permanent employee

Schedule:

• Night shift

Supplemental Pay:

• 13th month salary
• Yearly bonus

Ability to commute/relocate:

• Taguig City: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

• Active CPC License (Preferred)