USRN - Medical Coding Assistant Manager

21 hours ago

Taguig, National Capital Region, Philippines Carelon Global Solutions Philippines Full time ₱1,500,000 - ₱2,500,000 per year

Responsible for serving as the operations point of contact for Medical Management and /or Medical Coding day to day operations, including but not limited to, facilitating issue resolution, meeting goals and targets.

Primary duties may include, but are not limited to:

  • Acts as a liaison for both internal and external groups for program initiatives.
  • Help create, launch and drive critical account initiatives and programs.
  • Provides inputs to policies and processes impacting the operations.
  • Manages a team of nurses and/or allied Healthcare professionals in the optimal execution of operations activities ensuring that each team member meets / exceeds their goals and metrics on a daily, weekly and monthly basis.
  • Coordinates with workforce for staffing requirements and scheduling of agents given leaves, absences and attrition. Prepares reports. Hires, trains, coaches, counsels, and evaluates performance of direct reports. Suggests and develops high quality, high value, concept and or process improvement and efficiency recommendations.

Qualifications

  • Registered Nurse license, either Philippines or unrestricted US territory.
  • Minimum of 2 years hospital experience and/or several years of inpatient coding experience.
  • Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred.

One or more of the following certifications are preferred:

  • Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC.
  • Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred.

  • USRN - Medical Coding Manager

    18 hours ago

    Taguig, National Capital Region, Philippines Carelon Global Solutions Philippines Full time ₱2,000,000 - ₱2,500,000 per year

    Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.Primary duties may include, but are not limited to:Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and...

  • USRN - Medical Coding Manager

    1 week ago

    Taguig, National Capital Region, Philippines Carelon Global Solutions Full time ₱2,000,000 - ₱2,500,000 per year

    Job Profile Summary:Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.Primary duties may include, but are not limited to:Analyzes and audits claims by integrating medical chart coding principles,...

  • USRN with Medical-Surgical: ICU, Telemetry

    5 days ago

    Taguig, National Capital Region, Philippines HRTX Full time ₱1,500,000 - ₱2,500,000 per year

    RequirementsBachelors degree in NursingActive PRC and USRN LicenseUSRN License from Compact State/sHave 3 to 5 years of clinical experience in medical-surgical areas; ICU, telemetry, Emergency DepartmentKnowledge about diagnoses, signs & symptoms, diagnostic tests and management expected for conditions such as DM, HTN, CHF, CVA, sepsis, encephalopathy, AKI,...

  • Usrn

    5 days ago

    Taguig, National Capital Region, Philippines HRTX Full time ₱1,500,000 - ₱3,000,000 per year

    USRN - Emergency Department / Medical Surgical Ward/ ICU | 100K SOBWe accept any state of USRN license now WE'RE HIRING: USRN - CDI Specialist Location: BGC, Taguig Work Arrangement: Mid Shift | Onsite Company: PM ConsultingAre you a US Registered Nurse looking to shift into a documentation-focused role while utilizing your clinical expertise? PM Consulting...

  • USRN (with MS, ICU, and ER Experience)

    5 days ago

    Taguig, National Capital Region, Philippines HRTX Full time ₱800,000 - ₱1,200,000 per year

    Job DescriptionWe are looking for a detail-oriented USRN to join our team This role involves reviewing patient medical records to ensure accurate, complete, and high-quality documentation that reflects the level of care provided. You will collaborate with physicians, nurses, and coding teams to improve clinical documentation, support accurate coding, and...

  • USRN (Emergency Department) | 100K SOB

    5 days ago

    Taguig, National Capital Region, Philippines HRTX Full time ₱800,000 - ₱1,000,000 per year

    Were Hiring: USRN Clinical Documentation Improvement (CDI) Specialist Location: BGC, Taguig Work Schedule: Mid Shift (Onsite) Start Date: ASAPAre you a USRN with a strong clinical background looking to transition into a dynamic documentation-focused role? Join our team as a Clinical Documentation Improvement (CDI) Specialist and help bridge the gap between...

  • USRN PHRN Representative

    5 days ago

    Taguig, National Capital Region, Philippines HRTX Full time ₱900,000 - ₱1,200,000 per year

    This role is responsible for improving the quality, accuracy, and completeness of clinical documentation in the medical record. This role collaborates with physicians, coders, and other healthcare team members to ensure documentation reflects the true clinical picture, supports appropriate code assignment, and meets regulatory and quality reporting...

  • Medical Coding Manager

    2 weeks ago

    Taguig, National Capital Region, Philippines AGS health Full time ₱1,500,000 - ₱3,000,000 per year

    Job Title: Coding/Medical Coder ManagerLocation: McKinley, TaguigWork set-up: OnsiteShift: Morning ShiftOverview:Under the direction of the Medical Coding Vertical at AGS health, with ROI/Voice/ Medical Coding, SME will be responsible for governing learning rigor, behavioral and customer service, responsible for the design, delivery, and continuous...

  • USRN - Medical Coding Clinical Trainer

    18 hours ago

    Taguig, National Capital Region, Philippines Carelon Global Solutions Philippines Full time ₱900,000 - ₱1,200,000 per year

    Responsible for analyzing, designing, developing, implementing, and evaluating training solutions for business performance gaps based on business needs.Primary duties may include, but are not limited to:Conducts training needs analysis, designs, develops, implements, and evaluates effectiveness of learning solutions;Facilitates knowledge transfer activities...

  • USRN/ USRN Triage

    2 weeks ago

    Taguig, National Capital Region, Philippines Go-Get Data Consultancy Full time ₱900,000 - ₱1,200,000 per year

    Job title: USRN – Nurse TriageWork set up: On-site in BGC TaguigWork shift: US Time Zone; Must be open to Night ShiftSalary:Start date: Immediately/ ASAP Joiners onlyPosition Summary:The Nurse Triage USRN will serve as the point of clinical contact for patients in the virtualbehavioral health program. This role is responsible for scheduling appointments,...