Clinical Auditor

Solid Lyndelle Manpower Services Inc. seeks a skilled Clinical Auditor to join our team. Below are the key responsibilities and requirements for this role.Key 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...

Job 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...

Job 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...

Key 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...

Key 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...

"Key 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 the state or payor portal to check authorization statuses" ...

"Key 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 the state or payor portal to check authorization...

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...

Key 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:...

Job Description:We are seeking a skilled Clinical Nurse Auditor to join our team at Visaya KPO. In this role, you will work closely with the Eligibility Enrollment Specialist to obtain referrals from our clients and review medical records to validate authorization requirements.You will utilize Savista's client host system to document case and updated account...

"Key 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 the state or payor portal to check authorization statuses"...

Key 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:...

Key ResponsibilitiesCollaborate with Eligibility Enrollment Specialists to secure referrals from Savista's clients.Verify medical records to validate required authorizations.Document case and updated account statuses in Savista's client host system when applicable.Utilize state or payor portal to check authorization statusesRequirements:Bachelor's Degree in...

bJobSummary/bbrbrAtSolidLyndelleManpowerServicesInc.,weareseekingaskilledClinicalAuditortojoinourteam.AsaClinicalAuditor,youwillberesponsibleforperformingregularauditsofclinicalpractices,patientrecords,andhealthcareprocesses.Youranalyticalskillswillbeessentialinidentifyingtrends,patterns,andareasofrisk.Youwillalsomonitortheeffectivenessofimplementedchangesan...

We are seeking a highly skilled Clinical Auditor to join our team at Gratitude Philippines.About the RoleThis is a key position that will involve regular audits of clinical practices, patient records, and healthcare processes to ensure compliance with regulatory requirements. The ideal candidate will have strong analytical skills and be able to identify...

Job DescriptionWe are seeking a skilled and detail-oriented Clinical Nurse Auditor to join our team at Visaya Knowledge Process Outsourcing. As a key member of our healthcare compliance team, you will play a critical role in ensuring the accuracy and integrity of medical records.Key Responsibilities:Collaborate with Eligibility Enrollment Specialists to...

Job Title: Sr. Medical Biller/Coder Department: RCM – Philippines Reports To: Head of RCM Job Summary: The Sr. Medical Biller/Coder is responsible for accurately processing and managing billing and coding tasks related to medical and vision care services. This role involves reviewing clinical documentation and assigning appropriate medical codes (CPT,...

PHRN + CIC/CCS + 2 Years IP DRG Experience | DRGV AUDITOR Location: Ortigas (Onsite) / Cebu / QC Qualifications: Nursing degree mandatory 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 Possesses knowledge of...

PHRN + CIC/CCS + 2 Years IP DRG Experience | DRGV AUDITOR Location: Ortigas (Onsite) / Cebu / QC Qualifications: Nursing degree mandatory 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 Possesses knowledge of...