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
Join our dynamic team and make a meaningful impact in the healthcare industry. Youll play a pivotal role in ensuring accurate claims processing while advancing your career in a supportive and innovative environment. Enjoy competitive benefits
Job Summary The Clinical Documentation Improvement Specialist focuses on the accuracy, completeness and consistency of inpatient clinical documentation to support coding and reporting of high-quality healthcare data. The Clinical Documentation Improvement Specialist performs concurrent chart reviews
Now hiring – DRG Validator (Specialist) Location: Quezon City Work setup: Onsite Salary: ₱70K – ₱80K + allowances Requirements: * Active CIC, CCS, or CPC * Medical Allied graduate * At least 2 years DRG/IP auditing experience * PHRN required...
What You’ll Do Hospital Claims Processing & Adjudication • Review and adjudicate hospital and facility claims, including inpatient, outpatient, emergency room, and ancillary services, following established policies, benefit plans, and standard procedures. • Check claims for
We are currently hiring Inpatient Medical Coders for our Cebu office. Registered Nurses who have recently acquired their CIC or CCS certification are encouraged to apply and start their coding career with us. General Summary: We
R1 RCM PHILIPPINES, INC . is a leading provider of technology-driven, end-to-end revenue cycle solutions that transform the patient experience and financial performance of healthcare providers. R1 RCM Philippines serves as a strategic hub for global
Quality Analyst is responsible to perform activities outlined in the Service Quality Plan and identify auditor / program level improvement opportunities. QA Analyst is required to work closely with the production resources to ensure adherence to
As an Inpatient Trainer, your primary roles will be onboarding and training new hires through different modules of the Clinical Skills University program, which includes but not limited to domain training, charts immersion, and process training.
The Clinical Appeals Specialist is responsible for reviewing and preparing clinical and coding-related appeals for denied or downgraded healthcare claims. This role involves analyzing medical documentation, applying ICD-10 coding guidelines, and utilizing MCG/InterQual criteria to support
Work setup: 100% onsite on any of the locations (Angeles City / Subic) Work Schedule: Dayshift schedule with fixed weekends off (shift may vary depending on the client assigned but no chances on going on night
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
Job Summary We are looking for a Clinical Documentation Improvement (CDI) Specialist responsible for ensuring accurate, complete, and compliant inpatient clinical documentation to support coding accuracy, reimbursement, and high-quality healthcare data reporting. The role involves reviewing
Quality Analyst is responsible to perform activities outlined in the Service Quality Plan and identify auditor / program level improvement opportunities. QA Analyst is required to work closely with the production resources to ensure adherence to
Position Title: DRG Clinical Validation Auditor USRN with at least 2 years of bedside experience Candidates must have 1-2 years of hospital coding experience. One or more of the following certifications: Certified Documentation Improvement Practitioner (CDIP- AHIMA)
Job Title: Medical Coder Skills: 2–4 years in Medical Coding (physician groups, hospital billing, or healthcare BPO) Experience: Exposure to Chart Reviews, Clinical Documentation, DRG audit, E&M coding, InterQual Location: Muntinlupa, Philippines We at Coforge are hiring
Responsible for evaluating the quality of services and interactions provided by organizations within the enterprise. Primary duties may include, but are not limited to: Evaluates the quality and accuracy of transactions and/or communications with providers, groups,
JOB SUMMARY: As an Inpatient Medical Coder you will join a dynamic team of coding experts dedicated to delivering exceptional coding services to our valued clients. Your primary responsibility will be accurately assigning medical codes, ensuring
JOB SUMMARY: We are seeking a detail-oriented and experienced Inpatient Medical Coder to join our growing team of coding professionals. In this role, you will be responsible for accurately assigning medical codes and ensuring compliance with
JOB SUMMARY: We are seeking a detail-oriented and experienced Inpatient Medical Coder to join our growing team of coding professionals. In this role, you will be responsible for accurately assigning medical codes and ensuring compliance with