DRG Clinical Validation Auditor (PHL)

DRG Clinical Validation Auditor (PHL) page is loaded## DRG Clinical Validation Auditor (PHL)locations: PHL-ILO-SM Strata Tower 1, Senator Benigno S. Aquino Jr. Ave, Mandurriaotime type: Full timeposted on: Posted Yesterdaytime left to apply: End Date: April 9, 2026 (30+ days left to apply)job requisition id: JR **Position Title:**DRG Clinical Validation Auditor (PHL)**Shift:****Job Description:**Responsible for collaborating with healthcare providers, medical directors, and members to ensure medically appropriate, high quality, and cost effective care. This role combines utilization management, medical necessity review, and inpatient DRG auditing, applying clinical expertise and advanced medical coding knowledge to support accurate authorization, documentation integrity, and reimbursement. The DRG Auditor conducts clinical reviews across the care continuum while ensuring alignment between clinical documentation, diagnosis/procedure coding, DRG assignment, and payer reimbursem...

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