RN DRG Clinical Validation Auditor — Audit & Compliance

Carelon Global Solutions Philippines, Inc. is seeking a DRG Clinical Validation Auditor for the Manila shift, responsible for auditing inpatient medical records to ensure clinical documentation supports the claimed conditions and DRGs. Candidates must be US Registered Nurses with significant inpatient coding experience and relevant certifications.

The role requires expertise in analyzing claims using clinical guidelines and identifying documentation errors. The position emphasizes accuracy, quality, and improvement recommendations.