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- ...CLINICAL CODING ANALYST Key Responsibilities: Review and analyze claims that have been denied due to coding-related issues, including diagnosis codes (ICD-10-CM), procedure codes (CPT/HCPCS), and related modifiers. Identify coding discrepancies, documentation...
- ...onboarding and training new hires through different modules of the Clinical Skills University program, which includes but not limited to... ...review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice...
- ...SENIOR CLINICAL CODING TEAM LEADER Key Responsibilities: Lead and mentor clinical coding analysts, serving as the primary escalation point for complex, high‑risk, or high‑value coding and denial cases Provide functional leadership to ensure coding quality standards...
- ...Job Summary: The Inpatient Medical Coding Team Leader is responsible for leading a team of medical coders to accurately and efficiently... ...team and other departments, including the revenue cycle team, clinical documentation improvement team, and compliance department...
- ...Signing bonus for new employees! Senior Clinical Coding Analyst - Onsite Manila Health Business Solutions, LLC We are seeking an experienced and detail-oriented Senior Clinical Coding Analyst to join our team and take on a crucial role in ensuring coding quality...
- ...MicroSourcing! Position: Medical Coding Manager - Inpatient Location: Taguig... ...CDI, HIM, Revenue Integrity, Billing, and Clinical departments to ensure clean claim... ...Codify) preferred. Proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook,...
- ...required • Provide feedback to auditors/clinical team members using prescribed feedback... ...• Experience in US Healthcare, medical coding, medical billing, RCM health plan operations... ...clinical experience working in a hospital/office or nursing home • Has general knowledge...
- ...be certified with any of the following (CPC/COC/CIC/CCS), with coding audit experience • Experience in US healthcare. • Strong experience... ...structured, engaging, and outcome-based training content. • Must be willing to work onsite either in our Cebu or Pasig offices...
- ...for us. Join a team thats building a cleaner futurelocally and globally. We are looking for a Grid Code Engineer to be part of the Engineering team in our Makati Office. This role will report to the Engineering Director and will have a regional scope which includes...
- ...Company parties Opportunity for advancement Training & development Part Time Up to 25 hours/week | Weekdays Who are we Code Ninjas is the nation's fastest growing kids coding franchise. In our center, kids ages 7-14 learn to code in a fun, non-intimidating...
- ...Purpose The Quality Analyst, Inpatient Coding collaborates with internal staff in the... ..., regulations, and policies that impact clinical documentation, reimbursement to assure compliance... ...manual tasks; operate tools and other office equipment such as computer, computer...
- ...Position: Medical Coding QA Specialist Location: Makati City (Onsite) Salary Range: negotiable About the Role: ASP RCM Solutions Inc. is looking for a Medical Coding QA Specialist to review and ensure the accuracy and compliance of hospital medical coding...
40000 - 50000 Php
...ensures accuracy, compliance, and integrity of hospital medical coding for inpatient and outpatient records. The role involves auditing... ...Review DRG/APC assignments and sequencing according to AHA Coding Clinic and CMS regulations. Ensure adherence to hospital policies,...- ...Quality Analyst will be leading Manilas One Medicals Codings Quality Program. This position is office-based in Pasay City. Key job responsibilities... ...current on CPT ICD-10-CM coding guidelines AHA Coding Clinic Guidance and CMS Risk Adjustment guidance (as needed...
- ...Job Purpose The Academe Inpatient Medical Coding QA Educator is responsible for elevating coding accuracy and compliance through... ...Guidelines, CMS MS-DRG grouping logic, UHDDS definitions, Coding Clinic guidance, POA reporting, and facility- or payer-specific policies...
- ...Job Purpose: The Inpatient Medical Coding Operations Supervisor is responsible for managing day-to-day operations of the inpatient coding team to ensure timely, accurate, and compliant coding delivery. This role focuses on productivity oversight, workflow optimization...
- ...Region in their transactional and recurring day-to-day tasks on code compliance matters, within and across organizational boundaries.... ...the ability to lead initiatives for process development Good knowledge of MS Office and knowledge in handling of management tools...
- ...for conducting internal quality reviews across different medical coding specialties to assess coder performance and coding accuracy.... ...Surgery, Observation, ED) Other preferred specialties: Ancillary, Clinic, Emergency, and Evaluation and Management. ~ License/...
- ...quality. MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus...
- ...medical records to identify appropriate codes according to HCC, CPT, and ICD-10 models.... ...Conducts trainings and outreach to provider offices. Professional Development:... ...outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates, all...
- ...quality. MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus...
- ...makes everything enjoyable at work.' - Senior Broker, ASW Philippines. What You'll Do Provide scheduling support to other offices and ensure accurate documentation. Schedule exams via system portals, physician websites, and direct phone communication with offices...
- ...CPC certification Minimum 10 years of experience in medical coding/ US Healthcare operations/ BPO-KPO and minimum 2 years of experience... .... Candidate should be ready to work in night shift and/or rotational shifts Must be willing to work onsite in our Pasig office...
- ...The Auditor, Coding Quality conducts Initial Coding Quality Reviews (IQRs), Monthly Coding Quality Reviews (MQRs), Focused Quality Audits, and other ad hoc coding quality audits as requested to ensure hospital inpatient, outpatient , and profee claims, ICD-10-CM/PCS,...
- ...quality. MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus...
- The Clinical Branch Manager is responsible for overseeing the daily operations, clinical excellence, regulatory compliance, and financial performance of the branch. This role provides leadership to clinical and administrative staff while ensuring high-quality patient care...
- ...range of stakeholders Excellent organizational and multitasking abilities, with a keen eye for detail Proficiency in Microsoft Office suite (Word, Excel, PowerPoint) and familiarity with CRM software Proactive and problem-solving mindset, with a passion for...
- ...: • Bachelor's degree graduate & must be CPC certified with coding audit experience • Experience in US healthcare. • At least 2... ...Adequate knowledge of quality tools (Green belt certification to be an added advantage). • Willing to work onsite in our Pasig office...
- ...Join us to start Caring. Connecting. Growing together. The Clinical Admin Nurse / Prior Authorization Nurse will require ability to... ...or specialty medications Experience supporting provider offices or health plans Clinical experience in utilization management...
- ...quality. MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus...