CDI/DRG - Pasig (Clinical Documentation)
Pasig, National Capital Region
Posted yesterday
- Company:
- TASQ Staffing Solutions
- Company Description:
- Founded by experts with more than 70 years of collective experience in the staffing solutions industry, TASQ understands the unique challenges in the talent acquisition space and is committed to being the trusted partner of companies in their pursuit of hiring the best people to fill their manpower needs. Composed of highly skilled team members who have worked with organizations ranging from small-to-medium entities to large-scale enterprises (including Fortune 500 companies), TASQ is fully capable of meeting staffing demands at all levels and across different industries.
- Contract Type:
- Full Time
- Experience Required:
- 1 year
- Education Level:
- Bachelor’s Degree
- Number of vacancies:
- 1
Job Description
Work Setup/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:
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:
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.).
