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 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 regulations and
-Bachelors degree holder -4-8 years of experience in healthcare revenue cycle management, with 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
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
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 policies,
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 /
Client Management: -Establish and maintain trusted client relationships as the primary point of contact for coding denials and hospital billing services. -Understand client challenges related to coding compliance and billing workflows and recommend tailored solutions. -Conduct regular meetings
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 organisations
The Complex Claims Specialist is responsible for reviewing and resolving high-complexity insurance claims, including escalations, disputes, and denied cases. This role involves analyzing medical and billing data, ensuring compliance with policies, and coordinating with multiple stakeholders
Key Responsibilities 1. Operational Leadership & Performance • Manage daily adjudication operations ensuring accuracy, productivity, and SLA attainment. • Oversee team performance through dashboards, scorecards, and KPI monitoring. • Lead daily/weekly huddles, coaching sessions, and escalations.
Monee is a leading digital payments and financial services provider in Southeast Asia, with a growing presence in Latin America. Its mission is to better the lives of individuals and businesses in the region with financial
Onsite (1Nito Tower, Cebu Office) Day 1 HMO Night Shift Responsibilities Lead and supervise team performance, focusing on productivity, quality, and attendance Conduct regular audits to ensure adherence to workflows and client satisfaction Identify and address
We are hiring for Certified Medical Coders with risk adjustment experience to support growing operations. Whats in it for you? Work from home Competitive pay Certificate renewal coverage SIL with cash conversion HMO & Life Insurance
Location: Manila (MOA) & Cebu (CEB) Start Date: May 11 Location: Manila (MOA) & Cebu (CEB) Start Date: May 11 Qualifications: Must have a Medical Coding License (CPC or CIC) (non-negotiable) At least 3 years of Surgical
What is an Inpatient Coder? An Inpatient Coder specializes in coding the medical records of patients who are admitted to hospitals or healthcare facilities for treatment. They are responsible for translating patients’ healthcare information, including diagnoses, symptoms,
POSITION OVERVIEW The Team Lead is responsible for leading, monitoring, and supervising their assigned portfolio. This role ensures team efficiency, quality, and adherence to operational standards while driving overall client success. JOB DUTIES AND RESPONSIBILITIES: •
Subject Matter Expert (SME) – Medical Biller | WFH | Nightshift The Medical Billing SME is responsible for providing deep domain expertise across the end-to-end medical billing lifecycle, ensuring accurate, compliant, and efficient revenue cycle operations.
We Are Pooling Medical Coders – Outpatient Coding Program (Q2 Start)! We are currently pooling Medical Coders for our Outpatient Coding Program, tentatively starting Q2. Newly coding-certified Registered Nurses without prior coding experience are welcome to apply. Job Requirements: Must
Permanent Work-From-Home Setup Healthcare Account We are currently hiring experienced Medical Coders to join our growing healthcare team. If you have strong coding experience and the required certifications, this is your opportunity to work remotely and grow
We are a dynamic, multi-disciplinary US healthcare organization with multiple clinic sites dedicated to providing high-quality, patient-centered care across a variety of specialties. Our collaborative team is passionate about improving lives and delivering excellence in care