Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
Accountability: Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs
Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career
Lyric is the trusted leader in healthcare decision intelligence. Built on more than 35 years of proven results, Lyric combines responsible AI with clinical, payment, regulatory, and policy expertise to deliver transparent, auditable insights in milliseconds across
We are looking for a detail-oriented Quality Control for Coding Specialist to ensure the accuracy, compliance, and consistency of medical coding and billing practices. This role plays a vital part in maintaining the integrity of health
Lyric is the trusted leader in healthcare decision intelligence. Built on more than 35 years of proven results, Lyric combines responsible AI with clinical, payment, regulatory, and policy expertise to deliver transparent, auditable insights in milliseconds across
Lead a High-Performing QA Team Supporting U.S. Home Health Patients Are you an experienced home healthcare professional with strong Quality Assurance (QA) knowledge and a passion for developing people? Tender Home Health is a growing Medicare-certified
Role Overview We are seeking a highly skilled Orthopedic Medical Coder and Claim Scrubber with direct EPIC EHR experience to join our growing revenue cycle team. This role is critical for ensuring clean claim submissions, maintaining coding
Medical Coder (Inpatient) Job Description : Provide coding services on inpatient medical records using the latest appropriate International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding systems. Thoroughly review medical records including charts and procedures
We’re looking for a NURSE APPEALS CODER! Sites: Quezon City | Makati | Muntinlupa Setup: Hybrid Schedule: Shifting SALARY: PHP 40K–45K BASIC PLUS: 3,600 OGA Allowance 8,000 PHRN Allowance 7,000 Complexity Allowance Potential total monthly package: Up
ROLE AND RESPONSIBILITIES The Appeals Coder/CV Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. The Appeals Coder/CV Nurse
RINCIPLE PURPOSE OF JOB: We are currently seeking Clinical Analyst to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Clinical Analyst is responsible for analyzing and interpreting and assign the correct
Role: Medical Content Analyst Schedule: Night shift Setup: work from home Location: Taguig City Employment: Fulltime/Regular Job Description Provide additions, deletions or updates to diagnosis codes, procedure codes, age minimums & maximums, quantity limitations, place of
ROLES AND RESPONSIBILITIES The PHRN Coder Supervisor is responsible for leading and managing a team of Philippine Registered Nurses (PHRNs) and Medical Coders to ensure accurate, compliant, and timely coding of medical records and healthcare documentation. This role
Essential Job Responsibilities & Key Performance Outcomes Provide additions, deletions or updates to diagnosis codes, procedure codes, age minimums & maximums, quantity limitations, place of service limitations and other clinical content criteria Provide written and oral presentations
General Summary: We are currently seeking Auditor to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Auditor is responsible for analyzing and interpreting and assign the correct codes for
Position: Sr. CDI/DRG Specialist Location: Onsite/Hybrid Monday to Friday (Shift 1 or 2 - Daytime) Address: Mandaluyong, Philippines Salary: 100k-140k PHP Monthly + Benefits What were looking for: RN, CCS, CPC, CCDS, or CDIP credential 2+
About the Company Shearwater Health is a leading healthcare solutions provider, serving clients across the globe. We are dedicated to delivering high-quality, cost-effective medical coding and revenue cycle management services. Our mission is to empower healthcare
About the Company Shearwater Health is a leading healthcare solutions provider, serving clients across the globe. We are dedicated to delivering high-quality, cost-effective medical coding and revenue cycle management services. Our mission is to empower healthcare
Have you been a Medical Coder and previously led a team? We’d love to hear from you! We’re looking for a Medical Coder Team Lead (Inpatient) who can bring their experience, support their team, and grow with us.