Supervisory Nurse Auditor - Iloilo City
3 araw ang nakalipas
Job summary
Provide direct oversight, guidance and performance support to clinical nurse auditors and coding denial auditors. Ensure consistent application of medical review standards audit methodologies and documentation practices.
Clinical Audit & Medical Review
- Research interpret evaluate medical services billed charges benefit guidelines across complex claim types.
- Determine appropriate admission type level of care length of stay care setting coverage based on clinical documentation payer-specific rules.
Paglalarawan ng trabaho
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