Asst Mgr Medical Coding - PHL-Taguig City-Alliance Global Tower, th Ave, Corner th St, Uptown Bonifacio

Manage team of clinicians/coders to promote quality member outcomes. · Ensure adherence to medical policy. · Oversee complex clinical audit operations. · ...

Responsible for managing a team of clinicians and/or medical coders to promote quality member outcomes. · Ensures adherence to medical policy in providing high-quality service. · ...

Job summary · A Medical Coding Manager is responsible for managing a team of clinicians and medical coders to optimize member benefits and promote effective use of resources. · ...

Responsible for serving as the operations point of contact for Medical Management and/or Medical Coding day to day operations. · ...

Responsible for serving as the operations point of contact for Medical Management and /or Medical Coding day to day operations, including but not limited to, facilitating issue resolution, meeting goals and targets. · Acts as a liaison for both internal and external groups for pr ...

Serving as the operations point of contact for Medical Management and /or Medical Coding day to day operations. · ...

Auditing inpatient medical records to ensure clinical documentation supports conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. · ...

The role involves auditing inpatient medical records to ensure clinical documentation supports conditions billed and reimbursed. · • Analyzes claims by integrating medical chart coding principles · • Draws on advanced ICD-10 coding expertise to substantiate conclusions · • Identi ...

The USRN Medical Coder is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. · ...

The Clinical Quality Analyst is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. · •    Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and o ...

Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. · Primary duties may include but are not limited to: Analyzes and audits ...

The Clinical Quality Evaluator evaluates the quality of services and interactions provided by organizations within the enterprise. · Primary duties include evaluating quality, identifying errors or communications issues, tracking audit results, conducting root cause analysis and ...

++Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. · Specializes in review of Diagnosis Related Group (DRG) paid claims. · ...

Auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. · Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activi ...

The Clinical Validation Auditor is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. · ...

Clinical quality analyst responsible for auditing inpatient medical records to ensure clinical documentation supports conditions and DRGs billed and reimbursed. · ...

The position involves auditing inpatient medical records to ensure clinical documentation supports conditions and DRGs billed. Specializes in review of Diagnosis Related Group (DRG) paid claims.Analyzes claims by integrating medical chart coding principles, clinical guidelines, a ...

Evaluates the quality of services and interactions provided by organizations within the enterprise. · Evaluates the quality and accuracy of transactions and/or communications with providers, groups, and/or policyholders. · Identifies, documents, and reports any transaction errors ...

The job requires serving in an interim basis as a nurse trainee in the USRN Clinical Academy while obtaining NCLEX certification and USRN license prior to being deployed to a USRN function. · A BA/BS degree · An active unrestricted PHRN license to practice as a health professiona ...

This position is responsible for reviewing and analyzing correspondence in accordance with policies and procedures. · ...