Get new jobs by email
- ...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 audits. Prepare and submit...
- ...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
Pasigmore than 2 months ago - ...evidence-based solutions that help improve patient outcomes, streamline workflows, and support high-quality care delivery. Position: Medical Writer - Cardiovascular Regulatory Affairs Industry: Pharmaceutical Manufacturing Work Location: Ortigas, Pasig City Work...
J-K Network Services
Pasiga month ago - ...dependents), life and accident insurance, mental health support, and medical allowances Leave benefits – generous paid time off, special... ...UI forms, fields, notifications, workflows, and JavaScript code. Experience in building reports, gauges, and home pages. Experience...
- ...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...
- ...collaborate with cross-functional teams to deliver infrastructure-as-code solutions, enhance CI/CD pipelines, and ensure robust sec... ...dependents), life and accident insurance, mental health support, and medical allowances Leave benefits – generous paid time off, special...
- ...claims, utilizing payer guidelines, contracts, fee schedules, and medical records to resolve issues and facilitate payments.... ...Specialists, effectively resolving complex denial situations, including coding disputes, medical necessity challenges, or disagreements with payer...
- ...Neolytix: Neolytix is a leading healthcare services company helping medical practices across the U.S. streamline their operations. From... ...of US healthcare, RCM Process, credentialing, insurances, CPT codes, etc. After going through the initial training, you put your theoretical...
- ...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...
- ...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....
- ...experience with automation platforms, APIs, AI tooling, and no-code/low-code systems Hands-on experience with Claude, prompt design... ...additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
40000 - 50000 Php
....00 per month Job description: . Job Summary The QA Specialist ensures accuracy, compliance, and integrity of hospital medical coding for inpatient and outpatient records. The role involves auditing coded encounters, validating DRG/APC assignments, and supporting...- ...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 from home...
- ...including forecasting and budget planning Requisition ID: 625608 Boston Scientific transforms lives through innovative medical technologies that improve the health of patients around the world. As a global medical technology leader for more than 45 years, we...
- ...Provide and manage cost estimates throughout the tendering process and during sales engagement Stay up-to-date with building codes, waterproofing standards and compliance requirements Deliver quotes in line with the relevant standards Ensure accuracy in quoting...
- ...Health and wellness support – HMO coverage from Day 1 (with dependents), life and accident insurance, mental health support, and medical allowances Leave benefits – generous paid time off, special leave types, and observance of all Philippine holidays Hybrid work...
- ...Health and wellness support – HMO coverage from Day 1 (with dependents), life and accident insurance, mental health support, and medical allowances Leave benefits – generous paid time off, special leave types, and observance of all Philippine holidays Hybrid work...
- ...while concurrently working with providers and health systems to address Revenue Cycle under-performance. The Coding Auditor will perform detailed reviews of medical documentation and coding, ensuring accuracy, compliance with coding standards, and adherence to regulations...
- ...ll enable the future — starting with yours.Top reasons to work with TDCX * Attractive remuneration and great perks * Comprehensive medical, insurance, and social security coverage * World-class workspaces * Engaging activities and recognition programs * Strong learning...
- ...our employees make to the organization’s success. We also offer: ~ Competitive salary – Get paid for doing what you love! ~ Medical and dental insurance (with free dependent coverage!). ~ Group life insurance for peace of mind. ~ Paid time off (PTO) –...
- ...deliver breakthrough results. FPS offers a competitive suite of benefits for our employees, including a lucrative compensation program, medical, dental, and vision benefits, and the opportunity for high-potential career growth with a fast-growing company. Our Core Values:...
- ...deliver breakthrough results. FPS offers a competitive suite of benefits for our employees, including a lucrative compensation program, medical, dental, and vision benefits, and the opportunity for high-potential career growth with a fast-growing company. Our mission is...
- ...Ensure smooth communication between practitioners and pharmacy 3. Pharmacy Coordination • Monitor prescription processing and medication dispatch • Liaise with pharmacy partners regarding delays or order issues • Escalate urgent medication delays (especially 2+...
- ...Health and wellness support – HMO coverage from Day 1 (with 2 free dependents), life and accident insurance, mental health support, and medical allowances Leave benefits – generous paid time off, special leave types, and observance of all Philippine holidays Hybrid...
- ...Role will conduct comprehensive quality audits across various medical coding specialties. This role is responsible for assessing coding accuracy, ensuring compliance with official coding guidelines, and providing clear, evidence-based audit findings to support continuous...
- ...ll enable the future — starting with yours.Top reasons to work with TDCX * Attractive remuneration and great perks * Comprehensive medical, insurance, and social security coverage * World-class workspaces * Engaging activities and recognition programs * Strong learning...
- ...Health and wellness support – HMO coverage from Day 1 (with 2 free dependents), life and accident insurance, mental health support, and medical allowances Leave benefits – generous paid time off, special leave types, and observance of all Philippine holidays Hybrid...
