- Understands, interprets and applies coding guidelines for coding quality audits. Audits inpatient, and profee encounters with complex code assignments.
- Review of complex medical records to determine coding accuracy of all documented diagnoses and procedures.
- Reviews claims to validate submitted codes and abstracted data including but not limited to ICD-10- CM//PCS codes, MS-DRGs, APR-DRGs, CPT's, APC's, and discharge disposition which all facility reimbursement and RVUs which impact profee reimbursement.
- Coder Certification such as CCS, CIC, CPC, COC
- Amenable to work onsite in BGC, Taguig
- Willing to work in a dayshift schedule
- Competitive Salary
- HMO on day 1 plus 1 dependent; Additional 2 HMO dependents upon regularization
- Group life insurance
- PTO Credits
- Annual Appraisal
- Annual Performance Bonus
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Quality Assurance Auditor
3 araw ang nakalipas
Dempsey Resource Management Inc. Marikina, Pilipinas Permanent- Can START ASAP ONSITE in MARIKINA · - WORK SCHEDULE: Shifting Schedule with Saturday · - SALARY RANGE: ₱18,000 - ₱20,000 · -Graduate of BS Food Technology, Chemistry, and other related courses · -At least 1 year of experience in QA Auditing and laboratory processes · -Computer ...
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Quality Assurance Store Auditor
1 linggo ang nakalipas
AMCA FINEFOODS INC. (Commissary of Caramia Cakes & Gelato) Cainta, Pilipinas Buong oras· •Accomplish monthly assigned store audit and spot visit. · •Accomplish Audit reports, documentations and other related store visit. · •Monitor product quality and do sensory evaluation as needed. · •Conduct and assist in Food Safety training and product knowledge to store open ...
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Quality Assurance System Auditor
5 araw ang nakalipas
Dempsey Resource Management Inc. Marikina, Pilipinas Buong oras-Graduate of BS Food Technology / BS Chemistry or Chemical Engineering / BS Biology or Microbiology or other related courses-With experience / familiar with food safety and quality management system standards (Good Manufacturing Practices, Hazard Analysis Critical Control Points, ...
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Quality Systems Engineer
6 araw ang nakalipas
DEMPSEY RESOURCE MANAGEMENT INC. Taguig, Pilipinas Buong orasBachelor's degree in Engineering or any other related courses.With experience working as a Quality Systems Internal Auditor, preferably in a semiconductor industry.With strong knowledge of Quality Management Systems including ISO 9001, IATF 16949 or other relevant standards. ...
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Inpatient Quality Specialist
5 araw ang nakalipas
Tenet Healthcare Taguig, Philippines, Pilipinas Buong orasBenefits: · HMO with FREE 3 dependents · Group life insurance · 10% Annual Performance Incentive · Annual Appraisal · 20 Paid Time Off (PTO) per year · Relocation package available · Work Arrangement · Permanent work from home setup · Qualifications: · At least 4-5 years of exper ...
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Quality Systems Engineer
1 linggo ang nakalipas
Dempsey Resource Management Inc. Taguig, Pilipinas Buong orasWORK LOCATION: Taguig CitySALARY RANGE: ₱23,000 - ₱25,000- Must be a Graduate of Bachelor's Degree in Engineering- With experience working as a Quality Systems Internal Auditor, preferably in a Semiconductor Industry- With strong knowledge of Quality Management Systems including ...
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Quality Analyst Tech
5 araw ang nakalipas
VCC Link, Inc. Taguig, Pilipinas Buong orasMinimum 1-2 years of relevant experience (i.e L1 helpdesk / tech support process) including at least one year as a quality auditor.Willingness to work in rotational shifts.Exposure in Microsoft 365 products is a must.Language RequirementFluent in spoken and written English. Able ...
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Quality Specialist
6 araw ang nakalipas
VCC Link, Inc. Taguig, Pilipinas Buong orasMinimum 1-2 years of relevant experience (i.e L1 helpdesk / tech support process) including at least one year as a quality auditor. Willingness to work in rotational shifts. Exposure in Microsoft 365 products is a must.Language RequirementFluent in spoken and written English. Abl ...
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IT Auditor
5 araw ang nakalipas
John Clements Consultants Inc Taguig, Pilipinas Buong orasJob Role : IT AuditorsJob Description : · Qualifications :Bachelor's degree in IT, Computer Science, Accounting, Finance and the like · At least 1-2 plus years of experience in IT Risk and Compliance · Design IT Risk Controls framework such as IT SOX framework · Implementation ...
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Audit Specialist
5 araw ang nakalipas
AboitizPower Taguig, Philippines, Pilipinas Buong orasJob Description · Implementing and leading the activities of the designated audit team · Reviewing, preparing and summarizing audit reports · Recommending improvements to the performance and integrity and compliance of the company and business unit's financial, operational, manag ...
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Cloud Operations Identity And Access Management Lead
5 araw ang nakalipas
Willis Towers Watson Taguig, Manila, Pilipinas Buong orasWillis Towers Watson IT is currently seeking qualified candidates for the position of Identity and Access Management Operations Lead. In this position, the successful candidate must demonstrate experience of leading technical and operational Identity Specialists maintaining globa ...
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Financial Reporting Manager
5 araw ang nakalipas
Golden Topper Group Inc. Taguig, Pilipinas Buong orasGolden Topper is an emerging real estate developer whose mission is to redefine city skylines across the Philippines and innovate the real estate landscape with world-class residences. Armed with extensive experience and leadership in residential development abroad, Golden Topper ...
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Controls and Compliance Specialist
1 linggo ang nakalipas
Thermo Fisher Scientific Taguig City, Pilipinas Buong orasJob Description · Business Job Title: Controls and Compliance Specialist · Job Profile Title: Internal Auditor II · Direct Report To: Controls & Compliance Manager, · Group/ Division: SSC · Career Band: 5 · Position Location: Manila · When you are part of Thermo Fisher Scientific ...
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Group Internal Audit Manager
5 araw ang nakalipas
Pilmico Taguig, Philippines, Pilipinas Buong orasCompany Description · Pilmico Foods Corporation & Gold Coin Management Holdings are the integrated agribusiness and food companies of Aboitiz Equity Ventures, Inc. (AEV). · Gold Coin is now fully-managed and owned by Pilmico International and to date, it is the largest investment ...
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SAP Security Operations Manager
2 linggo ang nakalipas
PGBPGNGLOBAL Taguig City, Pilipinas Buong orasJob Location · Taguig CityJob Description · Are you looking for a long term career and boost your IT Skills? We have an opportunity for you. · In P&G IT - whether your role is to craft an IT innovation strategy for a business, protect our critical information systems and assets, ...
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Corporate Investment Bank
5 araw ang nakalipas
JPMorgan Chase Bank, N.A. Taguig, Pilipinas Buong orasJob Description : · Managed Funds is product group that is part of Fund Services and is responsible for accounting service functionality for clients and fund managers within Asia Pacific, primarily the clients that are based in Australia and New Zealand. · Managed Funds function ...
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Quality Specialist
1 linggo ang nakalipas
TASQ Staffing Solutions Taguig City, Pilipinas· Minimum 1-2 years of relevant experience (i.e L1 helpdesk / tech support process) including at least one year as a quality auditor. · Willingness to work in rotational shifts. · Exposure in Microsoft 365 products is a must. · Language Requirement · Fluent in spoken and written ...
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Senior Accountant
6 araw ang nakalipas
TalentUS, Inc. Taguig, Pilipinas Buong oras1. Financial Reporting and Analysis: · • Prepare and analyze financial statements, including profit and loss statements, balance sheets, and cashflow statements, specifically related to the food and beverage department. · • Monitor and analyze sales, costs, and expenses, identify ...
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Audit Manager
4 araw ang nakalipas
ING Business Shared Services B.V. Taguig, Pilipinas Buong orasOverview · Corporate Audit Services (CAS) provides independent assurance to the Executive Board, the Supervisory Board and the Audit Committee on the quality and effectiveness of ING's internal control, risk management, governance and implemented systems and processes. CAS suppor ...
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Financial Reporting Analyst
5 araw ang nakalipas
ING Hubs Philippines Taguig, Philippines, Pilipinas Buong orasFinancial Accounting & Reporting Specialist · Overview: · Global Finance Services (GFS) is the department responsible for the central processing and reporting of all accounting events globally related to the Financial Markets, Treasury, Lending and Payments Services of ING Bank. ...
Outpatient Coding Quality Auditor - Taguig, Philippines, Pilipinas - Conifer Health Solutions
Paglalarawan
The Auditor, Coding Quality conducts Initial Coding Quality Reviews (IQRs), Monthly Coding Quality Reviews (MQRs), Focused Quality Audits, and other ad hoc coding quality audits as requested to ensure hospital inpatient, outpatient , and profee claims, ICD-10-CM/PCS, and/or CPT codes were coded and billed in accordance with nationally recognized coding guidelines, standards, regulations and regulatory requirements, as well as corporate coding compliance policies. The Quality Auditor's role is designed to ensure the integrity of Conifer's coding program is consistently maintained. The Coding Quality Auditor will deliver written and verbal reports of findings to other department staff members, as well as hospital, region, and/or corporate operations staff as indicated. The Senior Coding Quality Auditor will escalate significant trends to Manager of Coding Quality & Performance, leadership and/or Conifer Compliance team as warranted.
Duties and responsibilities:
Required Certifications/Licensure:
Working Conditions:
Company Benefits:
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Mga gumagamit ng propesyon na Outpatient Coding Quality Auditor sa Taguig
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Jose Marco Cauilan
SCRUM Master / Project Manager