CDI / DRGTASQ Staffing Solutions • Pasig, Metro Manila, Philippines
CDI / DRG
TASQ Staffing Solutions • Pasig, Metro Manila, Philippines
30+ days ago
Job descriptionReview patient medical records, including progress notes, laboratory results, and physician documentation. Work closely with healthcare providers to ensure that clinical documentation is accurate, complete, and up-to-date.Identify gaps in documentation and query physicians to clarify diagnoses and procedures for accurate coding. Ensure that the documentation supports the correct DRG (Diagnosis-Related Group) assignment and that it aligns with U.S. coding standards and guidelines. Assign DRGs based on the clinical documentation provided and verify that DRG codes are correct for reimbursement purposes. Monitor DRG trends and ensure that any discrepancies or issues are flagged and resolved in a timely manner. Collaborate with coding teams to ensure that medical coding aligns with clinical documentation and DRG assignments. Maintain a thorough understanding of DRG-based reimbursement systems and U.S. healthcare regulations (CMS, ICD-10-CM / PCS, etc.).
Work Setu p / Shift : WFO / Night shift
Start Date : ASAP
Qualifications :
- Bachelors Degree in Nursing (BSN) or equivalent healthcare-related degree.
- Must have a Medical Coding License
- 6 months to 1 year in a US Healthcare account
- Knowledge of anatomy and pathophysiology, disease process and management
- Coding knowledge (ICD-10-CM & PCS, Clinical codes and compliance, DRGs with MCCs, CCs, SOI, ROM, APR-DRG and MSDRG required)
- Experience with English grammar / written skills and proper query creation
- Must be amenable to report in Ortigas, Pasig City
Responsibilities :
1. Clinical Documentation Review & Improvement :
2. DRG Assignment & Compliance :
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Cdi • Pasig, Metro Manila, Philippines
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