Clinical Auditor
2 days ago
At Solid Lyndelle Manpower Services Inc., we are seeking a highly skilled Clinical Auditor to join our team. As a Clinical Auditor, you will be responsible for performing regular audits of clinical practices, patient records, and healthcare processes.
Key Responsibilities:- Conduct thorough audits of clinical practices, patient records, and healthcare processes to ensure compliance with regulatory requirements.
- Analyze audit findings and data to identify trends, patterns, and areas of risk.
- Monitor the effectiveness of implemented changes and provide ongoing support to ensure continuous improvement.
- Develop and maintain knowledge of healthcare claims payment policy and processing, including CMS and Medicaid regulations.
- Collaborate with healthcare professionals to ensure that the organization complies with all relevant regulatory requirements.
- Registered Nurse with CIC/CCS certification and prior auditing/DRG experience preferred.
- Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred.
- Excellent written and verbal communication skills, with the ability to think logically and process sequentially with a high level of detailed accuracy and efficiency.
- Strong knowledge of Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.
We offer a competitive salary range of $50,000 to $90,000 and a dynamic work environment with opportunities for growth and development.
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Clinical Auditor
2 days ago
Pasig, National Capital Region, Philippines Gratitude Philippines Full timeClinical Auditor Job DescriptionAt Gratitude Philippines, we are seeking a highly skilled Clinical Auditor to join our team. As a Clinical Auditor, you will play a critical role in ensuring the quality and integrity of our clinical practices.Key Responsibilities:Perform regular audits of clinical practices, patient records, and healthcare processes to...
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Clinical Nurse Auditor Specialist
2 days ago
Pasig, National Capital Region, Philippines Visaya KPO Full timeKey ResponsibilitiesCollaborate with the Eligibility Enrollment Specialist to obtain referrals from Savista's clients.Review medical records to validate the required authorization.Utilize Savista's clients' host systems to document cases and update account statuses when applicable.Verify authorization statuses through state or payor...
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Clinical Nurse Auditor Specialist
1 day ago
Pasig, National Capital Region, Philippines Visaya KPO Full timeKey ResponsibilitiesCollaborates with the Eligibility Enrollment Specialist to obtain referrals from Savista's clients.Reviews medical records to validate the required authorization.Utilizes Savista's client's host system to document case and updated account statuses when applicable.Checks authorization statuses through state or payor portals.Education:...
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Clinical Auditor
2 days ago
Cebu and Pasig, Philippines Gratitude Philippines Full timeClinical Auditor Job DescriptionGratitude Philippines is seeking a highly skilled Clinical Auditor to join our team. As a Clinical Auditor, you will be responsible for performing regular audits of clinical practices, patient records, and healthcare processes.Key Responsibilities:Conduct thorough audits of clinical practices and patient records to ensure...
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Clinical Auditor
1 day ago
Cebu and Pasig, Philippines Gratitude Philippines Full timeClinical Auditor Job Description **About the Role:** We are seeking a highly skilled Clinical Auditor to join our team at Gratitude Philippines. **Responsibilities:** * Conduct regular audits of clinical practices, patient records, and healthcare processes to ensure compliance with regulatory requirements. * Analyze audit findings and data to identify...
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Clinical Auditor
2 days ago
Cebu and Pasig, Philippines Solid Lyndelle Manpower Services Inc. Full timeClinical Auditor Job DescriptionSolid Lyndelle Manpower Services Inc. is seeking a skilled Clinical Auditor to join our team. As a Clinical Auditor, you will be responsible for conducting regular audits of clinical practices, patient records, and healthcare processes.Key Responsibilities:Perform regular audits of clinical practices, patient records, and...
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Clinical Nurse Auditor
2 months ago
Pasig, Philippines Visaya KPO Full timeKey Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize state or payor portal to check authorization...
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Clinical Nurse Auditor
2 months ago
Pasig, Philippines Visaya KPO Full timeKey Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize state or payor portal to check authorization...
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Clinical Auditor
3 months ago
Pasig, Philippines Gratitude Philippines Full timeJob 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...
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Clinical Nurse Auditor
2 months ago
Pasig City, Philippines Visaya KPO Full timeKey Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize state or payor portal to check authorization statusesEducation:...
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Clinical Auditor
3 months ago
Cebu and Pasig, Philippines Gratitude Philippines Full timeJob Description Responsibilities: 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...
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Clinical Auditor
3 months ago
Cebu and Pasig, Philippines Gratitude Philippines Full timeJob Description Responsibilities: 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...