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
Entry Level Risk Adjustment Medical Coder, RN, CPC | Midshift | WFH Job Summary We are seeking newly certified Risk Adjustment Medical Coders to join our team. The ideal candidate will be responsible for reviewing medical records to
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 are
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 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 Medical
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: 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 industry
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 industry
Qualifications: -4-8 years of experience in healthcare revenue cycle management, with a specific focus on coding and clinical denials, accounts receivable, and team leadership. -Deep understanding of medical coding (ICD-10, CPT, HCPCS) and clinical denials, payer medical necessity
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
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
Job Title: RCM Blended Skills: 2–4 years in RCM (physician groups, hospital billing, or healthcare BPO) Experience: Exposure to A/R Follow-ups, Insurance Verification, Billing, Prior Authorization Location: Muntinlupa, Philippines We at Coforge are hiring RCM Blended
The RCM Clinical Operations Manager is responsible for overseeing clinical operations within the revenue cycle management (RCM) process, ensuring that services meet quality, compliance, and efficiency standards. This role involves coordinating clinical workflows, managing teams, and collaborating with stakeholders
As a Medical Billing Coding Specialist , you will be responsible for reviewing patient medical records, assigning accurate codes to diagnoses, procedures, and services performed, and ensuring that all billing submissions comply with the relevant coding
Job Title: Home Health Coder (10 FTE, Temp WFH) Department: ( Location: onsite wrok Reports To: (Insert Reporting Manager/Position) Position Overview: We are looking for a highly skilled Home Health Coder to join our team. This temporary, work-from-home
Clark, Subic, Ortigas, Alabang Hybrid & WFH Opportunities Available FILIPINO NATIONALS ONLY Join a growing healthcare organization offering competitive salary packages, signing bonuses, relocation assistance, and career growth opportunities! OPEN POSITIONS IP DRG CODERS Clark / Subic