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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...
- ...payer guidelines and established billing cycles. Review claims thoroughly to ensure completeness accuracy and compliance including coding provider details and service dates. Ensure adherence to Medicaid Medicare VA and other payer regulations and requirements....
- Galderma is the emerging pure-play dermatology category leader present in approximately 90 countries. We deliver an innovative science-based portfolio of premium flagship brands and services that span the full spectrum of the fast-growing dermatology market through Injectable...
- ...Job description Job Summary KDCI Outsourcing is seeking a detail-oriented Medical Records Encoder (Entry-Level) to support secure medical file extraction and migration processes. This role is responsible for extracting organizing renaming validating and uploading...
- Job Expectations: Position Type: Experienced - Individual Contributor Employment Type: Full-Time; Permanent (Direct Hire) Work Setup & Location: Onsite - Ortigas Pasig (hybrid depends on performance after a few months) Work Schedule: Weekdays; Graveyard Shift...
- ...environment where you can grow succeed and make a difference! Medical Billing Training Specialist Are you a medical billing expert... ...to move mountains by transforming complex payer rules and coding into clear actionable training youll be instrumental in building...
- ...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 audits. Prepare and submit...
- WITH SIGNING BONUS! Work setup: 100% Onsite (Ortigas, Pasig City) Shift: Shifting schedule - predominantly Nightshift Responsibilities: Coverage and Access Specialist (PHRN) Professionally and compliantly interact with insurance payer representatives...
- ...About the Role We are a growing medical billing organization focused on streamlining healthcare revenue cycle management for medical... ...portals and clearinghouses Review and verify medical coding (CPT, ICD-10, HCPCS) for accuracy and completeness Follow...
- ...solutions that help improve patient outcomes, streamline workflows, and support high-quality care delivery. Position: Cardiovascular Medical Writer Industry: Pharmaceutical Manufacturing Work Location: Ortigas, Pasig City Work Schedule: Monday to Friday Work Setup:...
J-K Network Services
Pasig15 days ago - ...Job Title: Patient Access - Medical Virtual Assistant Company: Neolytix Work Set up: Hybrid/Remote Employment Type: Full-time About this Position Tired of just doing a part of the job and not seeing the impact of your work? Here at Neolytix, we believe in...
- ...solutions that help improve patient outcomes, streamline workflows, and support high-quality care delivery. Position: Regulatory Medical Writer (Hybrd) Industry: Pharmaceutical Manufacturing Work Location: Ortigas, Pasig City Work Schedule: Monday to Friday Work...
J-K Network Services
Pasig18 days ago - ...Improvement Specialist, where you will apply your expertise in medical terminology and procedures to evaluate clinical documents, ensuring... ...to educate them on documentation standards, thereby improving coding accuracy and revenue generation. Company Profile: Our...
- Client Profile: A healthcare-focused organization committed to delivering high-quality, patient-centered medical and wellness solutions. Combining innovation, expertise, and compassion, it strives to make healthcare accessible, efficient, and reliable. Position: Medical...
J-K Network Services
Pasig18 days ago - We’re Hiring: Inpatient Medical Coder What You’ll Do -Review medical records and assign accurate diagnostic & procedural codes -Ensure compliance with coding guidelines and regulations -Support healthcare providers in billing, research, and quality programs What...
Elite Headhunting Inc.
Pasig28 days ago - About Neolytix Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed...
- • Negotiation and relationship building with amid and high level managers of hospitals. • Evaluation of market trends to drive and maintain sales opportunities. • Participation in government biddings. • Facilitation/Conduct of product promotion and demonstration when...
Ritegroup Incorporated
Pasigmore than 2 months ago - ...Discover your 100% YOU with MicroSourcing! Position: Medical Coding Manager - Inpatient Location: Taguig Work setup & shift: Onsite | PH Day Shift Why join MicroSourcing Youu0027ll have: Competitive Rewards: Enjoy above-market...
- ...Knowledge of relevant Legislation Regulations Australian Standards Codes of Practice and ability to read understand and apply to work... ...enroll additional dependents) Paid Leaves: Birthday Vacation Medical and Maternity (up to 6 Vacation Leaves are convertible to cash on...
- ...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...
- ...for our employees, including a lucrative compensation program, medical, dental and vision benefits, and the opportunity for high potential... ...service orders for prospect customers. Review stage code orders to educate customers on installation status. Partner with...
- ...coordination. ~ Solid understanding of Australian design standards codes and documentation practices. ~ Strong communication skills to... ...enroll additional dependents) Paid Leaves: Birthday Vacation Medical and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...Conifer Global Business Center Inc. is hiring outpatient medical coders who are ready to advance their careers by training in inpatient medical coding through our Coding University. What's in it for you ~ We have a team of highly experienced and skilled professionals...
- ...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 your...
- ...skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals... ...patient services and reimbursement. • Interpret and apply ICD-10 coding in the review of medical records to support appeal submissions....
- ...per week). Ensure expenses and supplier costs are correctly coded and allocated. Maintain accurate financial records in accounting... ...made for daylight saving time ) HMO with 1 free dependent and medical reimbursements Government-mandated benefits WFH allowances...
- Responsibilities: Provides leadership to and is accountable for the performance of managers and/or senior level professional staff Lead and implement high visibility initiatives such as new market launches, business development and other growth opportunities Provide...
- ...About the role ~ Seven Seven Global Services, Inc. is seeking a talented Medical Coding Lead (Medical Doctor/MD) to join our team in Pasig City, Metro Manila. As a Medical Coding Lead, you will play a crucial role in ensuring accurate and efficient medical coding for...
- ...teams. Key Responsibilities Accounts Payable Process and code supplier invoices; verify against POs and approvals. Maintain... ...made for daylight saving time ) HMO with 1 free dependent and medical reimbursements Government-mandated benefits Work onsite...
