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🥝 Medical Auditor

ACCPRO International | quezon city, Philippines | Posted June 18, 2026

Job Description

On-site - Quezon City 1-3 Yrs Exp Bachelor Full-time

Job Description

Government Mandated Benefits

Insurance Health & Wellness

Life Insurance, HMO

Duties and Responsibilities

  • Review inpatient medical records for validation of DRG (Diagnostic-related Groups) 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.

Qualifications

  • Active CIC, CPC or CCS Certification
  • PHRN is an advantage
  • College Graduate of BS Nursin...

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