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 work
Job Expectations: Position Type: Experienced - Mid/Senior Employment Type: Full-Time; Permanent (Direct Hire) Work Setup & Location: Hybrid (2-3x onsite/week) - BGC, Taguig Work Schedule: Weekdays; Night Shift (US) Headcounts Needed: 30+ FTEs Industry: Healthcare About
College Graduate of BS Nursing or Med Allied Course Active CIC, CCS, CPC required At least 1 year, 6 months of experience in DRGV/ IP Auditor or 3-5 years IP coding experience • Review inpatient medical records
The Risk Adjustment HCC Coder is responsible for accurately reviewing and assigning ICD-10-CM diagnosis codes that map to Medicare Advantage and ACA Commercial Risk Adjustment models. The role ensures compliance with coding guidelines, documentation standards, quality metrics, and
Location: BGC Taguig or Iloilo City Work Setup: Hybrid but work onsite frequency is still being deliberated Work Schedule: Night Shift, Shifting Schedule, No fixed weekends off Target Start Date: August 3, 2026 Headcount Requirement: 30
RCM Trainer– Medical Billing | Hybrid | Nightshift Setup: Hybrid (6 weeks training onsite 2 days per month after) Schedule: 8PM-5AM MNL The RCM Trainer is responsible for providing deep domain expertise across the end-to-end medical
Position: Clinical Documentation Improvement Nurse Specialist – Inpatient Location: BGC, Taguig (Hybrid) Required Qualifications: CDI Experience: At least 2 years inpatient CDI review experience. Clinical Experience: Minimum of 2 years acute care clinical experience in a