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- ...Be part of our growth! We are hiring Medical Coding Team Leads for our ongoing ramp this quarter. I. Inpatient Coding - Team Leads Must have an active nursing license with CIC or CCS certification With at least 2 years in inpatient coding, preferably in DRG...
Cotiviti Philippines Inc
Cebu23 hours ago - ...CLINICAL CODING ANALYST Key Responsibilities: Review and analyze claims that have been denied due to coding-related issues, including... ...developing clear clinical and coding justifications Review medical records, payer policies, and coding guidelines to support...
- ...SENIOR CLINICAL CODING TEAM LEADER Key Responsibilities: Lead and mentor clinical coding analysts, serving as the primary escalation... ...for coding‑based appeals, including clinical validation and medical necessity disputes Conduct regular audit and review of coded...
- ...Key Responsibilities Review denied medical claims to determine reasons for denial (coding errors, missing information, medical necessity, eligibility, etc.). Collect, organize, and verify supporting documentation needed for appeals or audit Prepare and submit claim...
- ...SUCCESSFUL HIRES!! We are looking to hire experienced Inpatient Medical Coders and Same Day Surgery Medical Coders We have more than... ...Allied Course Graduate With at least 1 Year of Inpatient Coding Experience Must have an active Medical Coding Certification...
R1 RCM
Cebu4 days ago - ...responsibilities: Answer calls professionally, acting according to the interpreter’s code of conduct Be aware of the specific vocabulary of the industry the interpreter works with (healthcare and medical, specifically) Go into internal professional training Communicate and...
- ...to federal and state regulations. Ensuring compliance with the medical facility's policies and procedures and developing interdisciplinary... ...capacity ~ Knowledge of medical terminology, ICD10 and CPT coding and procedures (preferably) ~ Ability to type at least 40...
- ...role in the business . Accuracy matters . Errors in invoice coding and reconciliation have a direct impact on the business’s financial... ...additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...Ensuring documentation aligns with the National Construction Code (NCC), relevant Australian Standards and applicable local government... ...additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...Oversee and validate AI-captured invoice data (OCR and automated coding outputs). Review system-flagged exceptions and resolve... ...enroll additional dependents). Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...will also be reporting to the office if needed) Work Schedule: Flexible Schedule, but office hours are 8 AM - 5 PM JOB OVERVIEW: Medical Sales Representative promotes and markets Medical products and equipment in hospitals, clinics, diagnostic facilities, etc. The...
ACCPRO International
Cebu8 days ago - ...accuracy of general ledger transactions, including appropriate coding and classification in Xero. Prepare and roll forward working... ...enroll additional dependents). Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...Key Responsibilities Review inpatient medical records to validate principal diagnosis, secondary diagnoses (CC/MCC), procedures, and... ...downgrades o Removal of CC/MCC o Clinical validation denials o Coding validation disputes • Prepare clear, concise, and compliant...
60000 - 90000 Php
...skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process.... ...services and reimbursement. # Interpret and apply ICD-10 coding in the review of medical records to support appeal submissions....- ...comprehensive clinical assessments to determine the patient's medical condition, healthcare needs, and treatment options. Patient... ...expertise to support revenue cycle processes, including accurate coding, documentation improvement, and compliance with healthcare regulations...
- ...(LOCs) and services, engaging with Program Managers, reviewing medical necessity records, and liaising with individuals and their families... ...to Federal and State guidelines. Uphold the Professional Code of Ethics. Other duties as assigned. QUALIFICATIONS...
- Qualifications: - High School or College Graduate - LTO Professional Driver's License (at least 1&2) - With driving work experience preferably with medical vehicles (ambulance & the like) - With security background - Willing to under BLS & ACLS training
Simon Agribusiness Corporation
Cebu29 days ago - Qualifications: - Registered Medical Technologist and with a valid PRC ID - With comprehensive understanding in the clinical laboratory - With at least two years work experience as a Medical Technologist - With good interpersonal and communication skills - Knowledgeable...
Simon Agribusiness Corporation
Cebu29 days ago - ...detailed design documents. Ensure designs align with relevant codes Collaboration and Communication Work closely with project... ...enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...contribute to custom modules/themes, participate in documentation and code review, and collaborate closely with onshore and offshore team... ...(with option to enroll more) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves convertible to cash on...
- Work Schedule: - Flexible - 8 AM to 5 PM SUMMARY: Medical Sales Representative promotes and markets Medical products and equipment in hospitals, clinics, diagnostic facilities, etc. The role involves driving product sales, developing client relationships, managing...
ACCPRO International
Cebua month ago - ...construction environment. Understanding of residential building codes, compliance requirements, and glazing standards. Benefits... ...enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- e are looking for a Professional Hospital Sales Specialist to handle hospitals and clinics for medical supplies and equipment. This is a field-based role that involves visiting clients, handling accounts, and coordinating orders within assigned areas. This job is not...
Medical and Hospital resources health care, inc.
Cebua month ago - ...experience in Revenue Cycle Management and Certification Billing/Coding(REQUIRED) ~ High School Diploma required; Bachelor’s Degree... ...Commercial and Government Insurance plans, member • eligibility, and medical billing (preferred). ~ Strong understanding and adherence to...
HGS Offshore Staffing Solutions (HGS OSS)
Cebu23 hours ago - ...services infrastructure & coordination Knowledge of Australian codes and council requirements Benefits Why You’ll Love Working... ...additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...training pipelines, plus top AI researchers who specialize in coding, reasoning, STEM, multilinguality, multimodality, and agents; and... ...goods Privacy and identity rights Copyright Legal, medical, financial information Meticulous Attention to Detail: The...
Turing
Cebu2 days ago - ...Incentive (not guaranteed; depends on company performance and individual performance), HMO (principal only with 110k MBL per sickness per year). BENEFITS UPON REGULARIZATION Rice Subsidy (1,500/month) Paid leaves (15VL:5SL), Clothing and Medical Allowance (6,600/yr.).
Out of the Box Practices, Inc.
Cebua month ago - ...Management System with the ability to support and train its modules. This role involves delivering virtual training, setting up clients' medical claim systems, identifying workflow efficiencies and providing assistance to internal and external stakeholders. Work Schedule...
- ...customer service, BPO, or call center operations is preferred. Knowledge of healthcare insurance processes, claims handling, or medical terminology is a plus. Strong verbal and written communication skills. Ability to handle difficult customers with...
- ...Insurance for you and one free dependent from day one (with the option to enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary) Employee Engagement Activities: Year-End...
