The Team Lead - IP DRG Coding oversees a team of inpatient coders, ensuring accurate assignment of Diagnosis-Related Group (DRG) codes based on patient records. They monitor compliance with coding guidelines, manage team performance, provide training, and ensure coding accuracy and efficiency. The role involves auditing coded records, troubleshooting coding issues, and collaborating with clinical staff to ensure proper documentation and coding practices.
Work Setup:
Work onsite - BGC Taguig
Weekends off
Salary and Benefits:
Package - 75,000 to 90,000
HMO on day 1 with dependents
10% Night differential
Qualifications:
Minimum of 3 to 4 years of experience in a medical coding role.
At least 1 year of experience as a team leader in a similar profile.
Strong knowledge of anatomy and physiology.
Expertise in IP DRG coding, including diagnosis and PCS coding.
Certified by AAPC or AHIMA.
Bachelor's degree in Nursing.
Must be a Registered Nurse.
A PHRN - Clinical Denials and Appeals reviews denied insurance claims, analyzes the reasons for denial, and prepares appeals using their clinical expertise. They gather medical documentation, work with healthcare providers, and submit appeals to insurance companies, ensuring the care provided meets medical necessity criteria. This role involves clear communication with insurers to dispute denials and advocate for claim approval.
Work Setup:
Work onsite - BGC Taguig`
Graveyard shift - 9PM to 6AM
Weekends off
Salary and Benefits:
Package - 40,000 to 55,000
10% Night differential
Qualifications:
Active Philippine Registered Nurse (PHRN) license.
Minimum of 1 year of hospital experience in critical care (e.g., Oncology, ER, OR).
At least 6 months of experience as a Clinical Denials and Appeals Specialist in a BPO setting.
Willingness to work onsite and during graveyard shifts.
An Operations Manager - CCV - IPDRG oversees and optimizes operational processes related to customer care voice (CCV) and inpatient diagnosis-related group (IPDRG) data, ensuring efficiency, quality, and compliance. They manage day-to-day operations, lead and support teams, analyze performance metrics, implement improvements, and coordinate with other departments to align operations with organizational goals.
Work Setup:
Work onsite - 1NITO Tower, Archbishop Reyes, Lahug, Cebu City
Shifting schedule
Salary: 130,000 - 180,000
Requirements:
Candidates must have PHRN certification.
CIC or CCS credentials are required.
Must have 7 to 8 years of experience with IP DRG with people management experience
Must hold the title of Operations Manager on paper.
A Team Lead Operations - CCV - IPDRG manages and supports a team to ensure efficient and high-quality handling of customer care voice (CCV) and inpatient diagnosis-related group (IPDRG) processes. They oversee daily operations, implement and refine procedures, conduct quality audits, and drive performance improvements while fostering collaboration and providing guidance to team members to achieve operational goals.
Work Setup:
Work onsite - 1NITO Tower, Archbishop Reyes, Lahug, Cebu City
Shifting schedule
Salary: 80,000 - 130,000
Requirements:
Candidates must have PHRN certification.
CIC or CCS credentials are required.
Must have 7 to 8 years of experience with IP DRG with people management experience of 2 years
A Quality Analyst - CCV - IPDRG evaluates and ensures the quality of customer care voice (CCV) interactions and inpatient diagnosis-related group (IPDRG) data by conducting thorough assessments, identifying areas for improvement, and implementing solutions. They analyze performance metrics, maintain compliance with standards, prepare detailed reports, and work with teams to enhance overall quality and efficiency in processes.
Work Setup:
Work onsite - 1NITO Tower, Archbishop Reyes, Lahug, Cebu City
Shifting schedule
Salary: 50,000 - 100,000
Requirements:
Candidates must have PHRN certification.
CIC or CCS credentials are required.
Must have 3 to 4 years of experience with IP DRG and a background in quality assurance.
