Nurse Auditor

About the RoleThe Nurse Auditor will be responsible for reviewing medical records to ensure accuracy and completeness, investigating and evaluating documentation, determining patient care levels, and prioritizing claims and timeframes.Responsibilities:Review medical records to ensure compliance with regulations and standardsEvaluate documentation to...

DescriptionBRJ Brig's Outsourcing Services Corporation is seeking a qualified Nurse Auditor to join our team. The successful candidate will have excellent communication and analytical skills, and be able to work independently and as part of a team.Responsibilities:Review medical records to ensure accuracy and completenessEvaluate documentation to determine...

Cotiviti Philippines Inc is seeking a highly skilled Healthcare Claims Auditor to join our team in Cebu.About the JobThis role is ideal for a registered nurse with experience in DRG coding and prior healthcare claims auditing. The successful candidate will possess excellent analytical skills, strong attention to detail, and effective communication...

Health Business Solutions (HBIZ), founded in 2002, is a high-impact, transitional outsourcing firm that provides near-term relief to overturn denied claims and accelerate cash while concurrently working with providers and health systems to address Revenue Cycle under-performance.The Coding Auditor will perform detailed reviews of medical documentation and...

About UsAt BRJ Brig's Outsourcing Services Corporation, we are committed to delivering high-quality healthcare services to our clients. We are seeking a highly skilled and detail-oriented Nurse Auditor to join our team.Key Responsibilities:Conduct thorough reviews of medical recordsInvestigate and evaluate documentationDetermine patient care levels and...

Why Qavalo?\We are a Cebu-based healthcare BPO company that offers innovative opportunities for healthcare professionals to grow their careers beyond traditional clinical settings.\Our mission is to play a vital role in the patient care continuum by providing reliable clinical back-office support to home health agencies in the U.S.\Our Culture\We value our...

On-site - Cebu 1-3 Yrs Exp Diploma Full-timeJob DescriptionDescriptionRELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS:Registered nurse with CIC or CCS certification with prior DRG experience (at least 1-2 years' experience)Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferredPossesses knowledge of...

Job SummaryWe are seeking a highly skilled and detail-oriented Nurse Auditor to join our team at BRJ Brig's Outsourcing Services Corporation.Key Responsibilities:Conduct thorough reviews of medical records to ensure accuracy and completenessInvestigate and evaluate documentation to determine compliance with regulationsDetermine the appropriateness of patient...

A key member of our team, the Clinical Auditor plays a pivotal role in ensuring the accuracy and integrity of clinical documentation. This involves conducting systematic reviews of medical records, billing codes, and clinical procedures to verify adherence to established standards and regulatory requirements.Work SetupOnsite - Manila and CebuThe successful...

**Job Overview**Crawford & Company seeks a skilled Clinical Program Nurse I to join our team in auditing in-patient and/or surgical bills. The ideal candidate will possess excellent analytical skills, proficiency in word processing software applications, and the ability to work independently and as part of a team.**Responsibilities** Medical Bill Review:...

JOB SUMMARYThe Finance Manager is responsible for overseeing the financial health of the organization by managing accounting operations, developing financial strategies, and ensuring compliance with regulatory requirements. This role involves financial planning, budgeting, forecasting, and risk management to support business objectives and drive financial...

Job Summary:Gratitude Philippines is seeking a highly skilled Clinical Auditor to join our team. The ideal candidate will have a strong background in healthcare and experience in auditing or DRG management.About the Role:The Clinical Auditor will be responsible for ensuring that our organization complies with all relevant regulatory requirements. This...

WE'RE HIRINGLocation: Bonifacio St., Davao CityHYBRID SET-UPPermanent JobElevate your career into Quality Assurance Reviewer in the Healthcare sectorWe're looking for Medical Allied who are eager to grow and succeed.NovaCare Administrative Solution's have exciting opportunities designed just for youJoin our Team as a Chart AuditorTask and...

PH Nurses - Clinical Auditor | WFH | TNKISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN or RN Clinical Auditors to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA...

Job DescriptionResponsibilities:Perform regular audits of clinical practices, patient records, and healthcare processes.Analyze audit findings and data to identify trends, patterns, and areas of risk.Monitor the effectiveness of implemented changes and provide ongoing support.Ensure that the organization complies with all relevant regulatory...

Job DescriptionAbout UsAt Gratitude Philippines, we are dedicated to delivering high-quality healthcare services that meet the needs of our patients. Our team is committed to providing exceptional care and support to ensure the best possible outcomes.Role OverviewWe are seeking a Clinical Auditor to join our team. As a Clinical Auditor, you will play a...

Responsibilities:Fully review/audit patient charts to ensure quality, accuracy, and completeness of documentation.Review relevant documentation on each chart, including referrals, consents, medications, H&P, nursing & therapy evaluation, and orders.Update trackers/masterlists as necessary.

Job Title: Clinical AuditorSynopsis:We are looking for a detail-oriented and analytical individual to fill the position of Clinical Auditor. The ideal candidate will have a strong background in healthcare and experience in auditing or DRG management.About Us:Gratitude Philippines is a leading healthcare provider committed to delivering exceptional patient...

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN or RN Clinical Auditors to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a...

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN or Medical Coder to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture...

Job descriptionQualifications & experienceRegistered Nurse/BSNExcellent time management skills and ability to multitaskExcellent customer/client management & facing skillsProficient with Google Applications such as G Docs and G SheetsComfortable in a fast-paced environmentProfessional level verbal and written communications skillsExcellent communication and...

About the Position:Epic Staffing Group is looking for a(n) GRC Administrator to support our organization's Governance, Risk, and Compliance (GRC) functions. The ideal candidate will assist in maintaining compliance frameworks, risk management processes, and security policies while ensuring alignment with regulatory requirements and industry standards. This...

About the Role:We are seeking a highly skilled and motivated Safety Officer to join our team at Archipelago Builders.Job Summary:This is an exciting opportunity for a qualified individual to work as part of a dynamic team responsible for ensuring the health, safety, and well-being of our employees and clients.Key Responsibilities:Duties &...

DUTIES & RESPONSIBILITIESPREVENTION ( Assessment / Investigation / Identification of work hazard related to safety )Conducts daily Toolbox meetingValidates and updates safety orientation for health and safety awareness, proper usage of Personal Protective Equipment (PPE) and power tools / equipmentMonitors safety at project site, analyzes the possible...