Quality Assurance Specialist in medical coding

the Quality Assurance (QA) Specialist is responsible in ensuring accuracy of information and quality of delivery by monitoring, auditing, reviewing, analyzing, documenting work processes that further improves clinical operations standards. Performs quality audits, validates results and communicates recommendation among responsible departments. Participates...

the Quality Assurance (QA) Specialist is responsible in ensuring accuracy of information and quality of delivery by monitoring, auditing,reviewing, analyzing, documenting work processes that further improves clinical operations standards. Performs quality audits, validates resultsand communicates recommendation among responsible departments. Participates in...

The Clinical Denial Specialist writes and submits professionally written appeals which include compelling arguments based on clinical documentation, third-party payer medical policies, and contract language. Appeals are submitted timely and tracked through final outcome.

The Clinical Denial Specialist writes and submits professionally written appeals which include compelling arguments based on clinical documentation, third-party payer medical policies, and contract language. Appeals are submitted timely and tracked through final outcome.

The Clinical Denial Specialist conducts comprehensive reviews of the claim denial, account/guarantor notes associated with the denial, and the medical record to make determinations if a revised claim needs to be submitted, if a retro authorization needs to be obtained, if a written appeal is needed, or if no action is .

The Clinical Denial Specialist conducts comprehensive reviews of the claim denial, account/guarantor notes associated with the denial, and the medical record to make determinations if a revised claim needs to be submitted, if a retro authorization needs to be obtained, if a written appeal is needed, or if no action is .

Job Description: As a Staff Nurse, you will be responsible for providing compassionate and competent care to patients in various healthcare settings, including hospitals, clinics, and community health centers. ***Location: Cebu*** Responsibilities: 1. Patient Care: Delivering direct patient care according to established nursing care plans, including...

Job Description: As a Staff Nurse, you will be responsible for providing compassionate and competent care to patients in various healthcare settings, including hospitals, clinics, and community health centers. ***Location: Alabang | Mandaluyong | Manila | Quezon City*** Responsibilities: 1. Patient Care: Delivering direct patient care according to...

Job Description: As a Staff Nurse, you will be responsible for providing compassionate and competent care to patients in various healthcare settings, including hospitals, clinics, and community health centers. ***Location: Cebu*** Responsibilities: 1. Patient Care: Delivering direct patient care according to established nursing care plans, including...

Job Description: As a Staff Nurse, you will be responsible for providing compassionate and competent care to patients in various healthcare settings, including hospitals, clinics, and community health centers. ***Location: Alabang | Mandaluyong | Manila | Quezon City*** Responsibilities: 1. Patient Care: Delivering direct patient care according to...

A Sales Executive based in Metro Manila / West Luzon is the key point of contact between the company and its customers. Main target is to meet sales goals set by the management. Foster strong relationships with both existing and prospective clients. Responsible for continuous increase of business volume and profitability and perform other tasks that may be...

An exciting opportunity is waiting for you in AP Renewables Inc., (An AboitizPower Business Unit). We are currently looking for A-Talents to join our team as Safety Specialist (Fixed term - 5months). This position is responsible in the implementation of SHE requirements and ensure regulatory compliance during the construction phase of the Binary project and...

Company DescriptionSutherland is seeking an attentive and analytical person to join us as a Quality Analyst. The Quality Analyst is a front-line position responsible for the evaluation and documentation of customer transaction to ensure accurate and consistent information is provided to customer. The Quality Specialist key focus is to evaluate transactions...

Role DescriptionThis is a full-time on-site role in Bolinao for a Site Engineer. The Site Engineer will be responsible for overseeing the construction project, ensuring that it meets all design, quality, and safety standards. The Site Engineer will also be responsible for communicating with the construction team, as well as external stakeholders such as...

Company DescriptionSutherland is seeking a reliable and attentive person to join us as a Facilities Specialist. We are a group of supportive and hardworking individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you!Job DescriptionSr Associate-Facilitiesin...