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- ...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...
- ...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
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
Cebua month ago - 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
Cebua month ago - 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 - ...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 - ...looked upon. Understanding of the NCC 2022 & other relevant codes of practice for compliant design. Experience in residential rendering... ...additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...an advantage ~ Clear understanding of appropriate Australian Codes and Standards, OH&S Codes and Standards is a plus ~ Excellent... ...enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- Qualifications Medical Allied graduates with no BPO Experiencee Average communications skills Willing to work on-site Amendable to any given schedule A team player Can work ASAP Job Description Handle mileage plus reservations and queries. Able to make a service...
Trinity Workforce
Cebumore than 2 months ago - ...promptly. Monitor and manage transaction volumes 4. Transaction Coding & System Management Record Weel transactions against the... ...additional dependents). Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...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...
- ...requirements, project deadlines, and adhere to relevant building codes and standards. This position requires strong architectural... ...enroll 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...
- ...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...
- ...~ Confirm completion of clinical documentation, lab results, medical form clearance, and medication cessation for exams requiring such... ...capacity ~ Knowledge of medical terminology, ICD10 and CPT coding and procedures (preferably) ~ Ability to type at least 40 wpm...
- ...Benefit nominations and Fund Investment Strategies) Accurately code and process client transactions using cloud-based accounting... ...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...
- ...documentation, ensuring accuracy and compliance with relevant building codes and council requirements. Update and revise drawings based on... ...additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...meet organisational objectives. This includes in accordance with Code of Conduct demonstrating appropriate and professional workplace... ...enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...meet organisational objectives. This includes in accordance with Code of Conduct demonstrating appropriate and professional workplace... ...enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...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...
- ...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...
- ...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...
- ...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 Party...
- ...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...
