Drg Validation Auditor Vacancies at R1 RCM PHILIPPINES, INC.

Image R1 RCM PHILIPPINES, INC.
  • Job vacancies posted on: 7 months ago

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Our company, R1 RCM PHILIPPINES, INC. are currently hiring for interested candidates to join and to be a part of our company as drg validation auditor with a full time work system, which domiciled in Quezon City & Taguig City and surrounding areas. As a professiona company, the minimum criteria we need for candidates interested is Bachelor's/College Degree, Post Graduate Diploma/Master's Degree, & Professional License (Passed Board/Bar/Professional License Exam) which experienced in Accounting/Finance & Audit & Taxation.

Candidates who uphold honesty and discipline are a must for our company.

The competitive net salary we can offer is start from ₱16,000 to a maximum of ₱38,000, depending on the capability of the candidate and can be discussed with the HRD of our company.

About the role 

As a DRG Validation analyst, your primary role will be auditing inpatient cases to validate DRG and/or documentation improvement. This consists of reviewing accounts in proprietary software and client EMR systems.  

Eligibility Criteria 

  • Minimum 4+ years of work experience in IP DRG Medical Coding 
  • Bachelor’s degree in any medical allied course 
  • Successful completion of inpatient certification program from AHIMA (CCS) or AAPC (CIC) 
  • Experience in any EMR systems such as Epic, Cerner & Meditech 
  • Strong knowledge of anatomy, physiology, and medical terminology 
  • Effective verbal and written communication skills 
  • Able to work independently and willing to adapt and change as per business/process requirements. 
  • Should be flexible to adapt to shift timings on a need basis. 
  • A strong attention to detail and organization skills 
  • Ability to maintain the highest levels of customer satisfaction and be service-oriented. 

Responsibilities 

  • Review inpatient medical records for validation of DRG assignment.   
  • Provide detailed rationale and supporting evidence for recommendations and findings. 
  • Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics 
  • Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage. 

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. 

Our associates are given valuable opportunities to contribute, innovate, and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com

About R1 RCM 

R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals, and physician practices. Headquartered in Chicago, R1® is a publicly traded organization with employees throughout the US and international locations. 

Our mission is to be the trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is always to do what is best for our clients, patients, and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.

Office/Company Address

Country Philippines
Region National Capital Region
City Quezon City
Address R1 RCM Philippines, 21F Alliance Global Tower, Uptown Mall, Taguig, 1635 Metro Manila, Filipina
Map Google Map
Country Philippines
Region National Capital Region
City Taguig City
Address R1 RCM Philippines, 21F Alliance Global Tower, Uptown Mall, Taguig, 1635 Metro Manila, Filipina
Map Google Map

Benefit

  • Fixed dayshift. (On-site)
  • Certification Renewal Sponsorship (upon regularization)
  • Fixed weekend off.

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Company Description

R1RCM Philippines, Inc. is an American healthcare-focused revenue cycle management (RCM) company located in the country of the Philippines. The company was founded in 199 and is one of the leading providers of RCM services in the Philippines. R1RCM provides a wide range of services that are tailored to meet the unique needs of healthcare systems, hospitals, and physician offices. They specialize in the areas of front-end patient access, coding, eligibility and insurance validation, billing, accounts receivables, revenue recovery solutions, and software development. The company is dedicated to improving healthcare and helping organizations improve their bottom lines through cutting-edge RCM strategies and solutions. R1RCM is committed to providing the best patient, clinician, and stakeholder experience, with an emphasis on quality and customer service.

Company Info

This vacancy is suitable for those of you who live in the following areas: National Capital Region

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