USRN - Medical Coding Manager
3 weeks ago
Overview Job Profile Summary: Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. Primary duties may include, but are not limited to: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings letters. Maintains accuracy and quality standards as established by audit management. Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs). Suggets and develops high quality, high value, concept and or process improvement and efficiency recommendations. Qualifications Requires current, active, unrestricted Registered Nurse license in applicable state(s) and minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG. One or more of the following certifications are preferred: Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. 5 years of Management experience. #J-18808-Ljbffr
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USRN with Medical-Surgical: ICU, Telemetry
1 week ago
Taguig, Philippines HRTX Full timeUSRN with Medical-Surgical: ICU, Telemetry & Emergency Department Experience Job Openings USRN with Medical-Surgical: ICU, Telemetry & Emergency Department Experience About the job USRN with Medical-Surgical: ICU, Telemetry & Emergency Department Experience Requirements Active PRC and USRN License USRN License from Compact State/s Have 3 to 5 years of...
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USRN (with MS, ICU, and ER Experience)
1 week ago
Taguig, Philippines HRTX Full timeAbout the job USRN (with MS, ICU, and ER Experience) Job Description We are looking for a detail-oriented USRN to join our team! This role involves reviewing patient medical records to ensure accurate, complete, and high-quality documentation that reflects the level of care provided. You will collaborate with physicians, nurses, and coding teams to improve...
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USRN (Emergency Department) | 100K SOB
1 week ago
Taguig, Philippines HRTX Full timeAbout the job USRN (Emergency Department) | 100K SOB Were Hiring: USRN Clinical Documentation Improvement (CDI) Specialist Location: BGC, TaguigWork Schedule: Mid Shift (Onsite)Start Date: ASAP Are you a USRN with a strong clinical background looking to transition into a dynamic documentation-focused role? Join our team as a Clinical Documentation...
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USRN (Emergency Department) | 100K SOB
4 weeks ago
Taguig, Philippines HR TechX Corp. Full timeOverview Were Hiring: USRN Clinical Documentation Improvement (CDI) Specialist Location: BGC, TaguigWork Schedule: Mid Shift (Onsite)Start Date: ASAP Are you a USRN with a strong clinical background looking to transition into a dynamic documentation-focused role? Join our team as a Clinical Documentation Improvement (CDI) Specialist and help bridge the gap...
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USRN (with MS, ICU, and ER Experience)
3 weeks ago
Taguig, Philippines HRTX Full timeJob Description We are looking for a detail-oriented USRN to join our team! This role involves reviewing patient medical records to ensure accurate, complete, and high-quality documentation that reflects the level of care provided. You will collaborate with physicians, nurses, and coding teams to improve clinical documentation, support accurate coding, and...
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USRN (with MS, ICU, and ER Experience)
3 weeks ago
Taguig, Philippines HRTX Full timeJob Description We are looking for a detail-oriented USRN to join our team! This role involves reviewing patient medical records to ensure accurate, complete, and high-quality documentation that reflects the level of care provided. You will collaborate with physicians, nurses, and coding teams to improve clinical documentation, support accurate coding, and...
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USRN (Emergency Department) | 100K SOB
3 weeks ago
Taguig, Philippines HRTX Full timeWere Hiring: USRN Clinical Documentation Improvement (CDI) Specialist Location: BGC, Taguig Work Schedule: Mid Shift (Onsite) Start Date: ASAP Are you a USRN with a strong clinical background looking to transition into a dynamic documentation-focused role? Join our team as a Clinical Documentation Improvement (CDI) Specialist and help bridge the gap between...
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USRN (Emergency Department) | 100K SOB
3 weeks ago
Taguig, Philippines HRTX Full timeWere Hiring: USRN Clinical Documentation Improvement (CDI) Specialist Location: BGC, TaguigWork Schedule: Mid Shift (Onsite)Start Date: ASAP Are you a USRN with a strong clinical background looking to transition into a dynamic documentation-focused role? Join our team as a Clinical Documentation Improvement (CDI) Specialist and help bridge the gap between...
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USRN with Medical-Surgical: ICU, Telemetry
3 weeks ago
Taguig, Philippines HRTX Full timeRequirements Bachelors degree in Nursing Active PRC and USRN License USRN License from Compact State/s Have 3 to 5 years of clinical experience in medical-surgical areas; ICU, telemetry, Emergency Department Knowledge about diagnoses, signs & symptoms, diagnostic tests and management expected for conditions such as DM, HTN, CHF, CVA, sepsis, encephalopathy,...
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USRN PHRN Representative
3 weeks ago
Taguig, Philippines HRTX Full timeThis role is responsible for improving the quality, accuracy, and completeness of clinical documentation in the medical record. This role collaborates with physicians, coders, and other healthcare team members to ensure documentation reflects the true clinical picture, supports appropriate code assignment, and meets regulatory and quality reporting...
