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Clinical Auditor Expert

1 week ago


Taguig, National Capital Region, Philippines Linda Hausermann & Associates Full time

Job Overview: We are seeking a Clinical Auditor Expert to join our team at Linda Hausermann & Associates.

About the Role:

The successful candidate will be responsible for auditing post payment claims and ensuring that they meet the required standards.

Key Responsibilities:

  1. Auditing post payment claims for accuracy and compliance
  2. Conducting regular audits to ensure that claims are accurate and compliant with regulations
  3. Maintaining up-to-date knowledge of ICD 9/10, CPT/HCPCS coding, DRG guidelines, correct coding initiative, revenue codes, modifiers, and APC reimbursement

Requirements:

  • BS Nursing Graduate
  • Licenses: PH RN or US RN
  • Minimum 5 years experience in Post Payment Claims Auditing or as an ICU RN Auditor
  • 5-10 years experience in ICU/CCU nursing
  • Exposed to ICU experience in local/international bedside/hospital settings

What We Offer:

A competitive salary package and opportunities for professional growth and development.