Medical Clinical Reviewer

Job OverviewThe Clinical Appeals Nurse role involves medical chart review to determine the appropriate level of care for patients.ResponsibilitiesReview medical records and lab results to determine hospital admission, observation, or no hospital care is required.Key Requirements:2-4 years of experience in adult Medical-Surgical and General Ward...

Job Title: Microbiology Review ExpertRole DescriptionOur organization is seeking highly qualified professionals with expertise in clinical microbiology to conduct peer reviews for various journals and publishers.The selected individual will be responsible for evaluating manuscripts, providing constructive feedback, and recommending publications based on...

Healthcare SpecialistWe are seeking a skilled Healthcare Specialist to join our team. In this role, you will be responsible for conducting clinical reviews of cases that do not meet certain criteria by performing clinical intake and adjudicating (closing) them or requesting additional information from medical directors.The ideal candidate will have active...

Medical Coder Job DescriptionThe Medical Coder will be responsible for conducting in-depth research and identifying Medicare, Medicaid, and other medical coding and billing documents to pinpoint claim denials or covered criteria (clinical content) for our automated claims editing solution.This solution is utilized by medical insurance payers across the...

Medical Consultancy PositionClinical professionals with expertise in medical expense management are required to advise leadership on improvement opportunities.Provides strategic guidance to senior level professional staff and managers.Focuses on operational or local business unit or market level impact.Owning end-to-end processes is essential.Develops...

Job DescriptionResponsible for examining and analyzing the patient medical records for timeliness, accuracy and completenessPrepares report summaries presentations and needed forms of identified compliance and non-compliance of Patient Medical RecordsQualificationsGraduate of any Healthcare related courseWith work experience handling medical records...

Role OverviewThe Medical Coding and Clinical Content Specialist role involves providing clinical content support to healthcare organizations.This position requires the ability to conduct research, identify claim denial or covered criteria, and provide written and oral presentations to medical directors and other clinical colleagues.The ideal candidate will...

Job SummaryA medical scribe works closely with healthcare providers to document clinical interactions in real-time, ensuring accurate and detailed patient records. This role allows medical professionals to focus more on patient care by handling the documentation side of the encounter.Key ResponsibilitiesDocumenting real-time patient encounters during virtual...

Role OverviewJob SummaryWe are seeking a detail-oriented and reliable professional to support mental health professionals by creating and reviewing clinical notes.Key Responsibilities:Draft, review, and refine mental health clinical notes using advanced language tools.Accurately enter finalized notes into multiple platforms while maintaining confidentiality...

Position Title: Clinical AdviserLocation: Makati CityEmployment Type: Contractual (once or twice a week)Job Summary:The Clinical Adviser provides expert medical advice and guidance to support the company's underwriting, claims, and product development functions. This role is responsible for reviewing and validating medical documentation, interpreting...