Join Access Healthcare as an 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.
Qualifications:

• Philippine Registered Nurse (with Active license).
• Must have an experience in clinical and audit in Inpatient DRG.
• Good comprehension and writing skills are required to provide the findings to physician.
• Strong attention to detail, organized and thorough.
• Ability to understand client guidelines related to insurance advantage claims.

Responsibilities:

• 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.

Perks & 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 Service

Job Type: Full-time
Pay: Php50,000.00 - Php60,000.00 per month
Benefits:

• Opportunities for promotion
• Paid training
• Pay raise
• Promotion to permanent employee
• Transportation service provided

Schedule:

• 8 hour shift
• Monday to Friday
• Night shift

Supplemental Pay:

• 13th month salary
• Overtime pay
• Performance bonus

License/Certification:

• PRC License (Required)