USRN Nurses (Clinical Documentation, Coding)

Job Title : CDI / DRG Specialist (Pasig) | Onsite

Work Arrangement / Shift : Onsite (Work From Office), Night Shift

Start Date :  ASAP (this June 2025)

Qualifications :

Bachelors degree in Nursing or a related healthcare field.

Must hold a valid Medical Coding License.

6 months to 1 year of experience working in a U.S. healthcare account.

Solid understanding of anatomy, pathophysiology, disease processes, and treatment management.

Proficient in medical coding standards, including ICD-10-CM & PCS, DRG classifications (MSDRG, APR-DRG), and related clinical coding compliance.

Skilled in written English and effective in creating clinical queries.

Willing to work onsite in Ortigas, Pasig City.

Responsibilities :

1. Clinical Documentation Review & Improvement :

• Review 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.

2. DRG Assignment & Compliance :