DRG Clinical Validation Auditor (PHL)

Carelon Global Solutions Philippines, Inc.

📍 Taguig, Metro Manila, Philippines

Full-time Bio & Pharmacology & Health Posted February 19, 2026

Job Description

DRG Clinical Validation Auditor (PHL) page is loaded## DRG Clinical Validation Auditor (PHL)locations: PHL-Taguig City-Alliance Global Tower, 11th Ave, Corner 36th St, Uptown Bonifaciotime 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 auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. • Primary duties may include but are not limited to: • Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. • Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. • Utilizes audit tools, au...