USRN - Medical Coding Assistant Manager

24 hours ago

Manila, National Capital Region, Philippines Carelon Global Solutions 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.
  • 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.
  • Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred.

  • USRN with Medical coding experience

    2 weeks ago

    Manila, National Capital Region, Philippines Private Advertiser Full time ₱1 - ₱2 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,...

  • Mass Hiring USRNs

    7 days ago

    Manila, National Capital Region, Philippines Global Group Innovative Services, Inc. Full time ₱80,000 - ₱100,000 per year

    US Registered Nurses (USRN) Location: Onsite, Manila Start Date: ASAP Salary: Up to PHP 100,000 (depending on experience) Openings: 10 slots availableQualifications:Active USRN license (in any state)At least 2 years of hospital or bedside experience in an acute care setting (e.g., Med/Surg, Ortho, ER)Experience with InterQual preferredBackground in Inpatient...

  • USRN/USRN Triage

    1 week ago

    Manila, National Capital Region, Philippines Muktarion Academy Full time ₱900,000 - ₱1,200,000 per year

    Role DescriptionThis is a full-time on-site role for a USRN/USRN Triage (Clinicals) based in Taguig. The Nurse Triage USRN will serve as the point of clinical contact for patients in the virtual behavioral health program. This role is responsible for scheduling appointments, assisting with rx refills, assessing patient symptoms, determining urgency,...

  • USRN / Up to 80,000 salary / MOA site / Start ASAP

    1 week ago

    Manila, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱60,000 - ₱80,000 per year

    We're looking for skilled Utilization Review Nurses (PHRN-USRN) to join our dynamic team and ensure medical necessity, cost-efficiency, and compliance with health plan policies and regulatory standards. QualificationsMust have active PHRN or USRN licenseMust have 1 year of experience in utilization review in a healthcare BPO set upExcellent verbal and...

  • Medical Coder/AI-Risk Coding Associate

    1 week ago

    Manila, National Capital Region, Philippines ARTECH TECHNOLOGY INC Full time ₱900,000 - ₱1,200,000 per year

    Hi,I'm Ishika and I work as Technical Recruiter at Artech. Please find the Job Description below and let me know if you are interested in the same.Job Title:  Medical Coder/ I-Risk Coding AssociateJob Type:  Hybrid (2x a week onsite)Location: Taguig/Mandaluyong, PHPosition Type: 3.5 – 4 Months (Contract)Shift type: Regular: 1PM–10PM or 8PM–5AM;...

  • PHRN/USRN/NCLEX (Associates, Assistant Manager, & Trainer) | Hybrid Set-up

    5 days ago

    Manila, National Capital Region, Philippines Find HR PH Full time ₱900,000 - ₱1,200,000 per year

    About the role Join the dynamic team at Find HR PH as a PHRN/USRN/NCLEX (Associates, Assistant Manager, & Trainer) for Pasay and Cebu. This is a full-time, hybrid role offering a flexible work arrangement between the office and remote locations. As a key member of our Call Centre & Customer Service team, you will play a vital part in supporting our clients...

  • Medical Stores Assistant

    1 week ago

    Manila, National Capital Region, Philippines Makati Medical Center Full time ₱150,000 - ₱200,000 per year

    The Medical Stores Assistant is responsible for performing the day-to-day medical store activities, which include receipt, storage, and issuance of floor stocks of medicines and medical supplies. The Medical Stores Assistant is also responsible for prompt filling and dispensing of medication orders in unit doses and checking of expiration dates of...

  • PHRN - Medical Coding Quality Analyst

    24 hours ago

    Manila, National Capital Region, Philippines Carelon Global Solutions Full time ₱40,000 - ₱80,000 per year

    Responsible for evaluating the quality of services and interactions provided by organizations within the enterprise.Primary duties may include, but are not limited to:Evaluates the quality and accuracy of transactions and/or communications with providers, groups, and/or policyholders.Identifies, documents, and reports any transaction errors or communications...

  • Coder/Coding Specialist

    1 week ago

    Manila, National Capital Region, Philippines ARTECH TECHNOLOGY INC Full time ₱600,000 - ₱800,000 per year

    Job Title: Medical CoderLocation: Taguig City or Mandaluyong City, Philippines (Hybrid – Onsite twice a week)Employment Type: ContractReferrals are highly encouragedAbout the RoleWe're looking for experienced Medical Coders to join our growing team. In this role, you'll review medical records, ensure accurate diagnosis coding, and contribute to the...

  • PHRN - Medical Coding Operations Expert

    23 hours ago

    Manila, National Capital Region, Philippines Carelon Global Solutions Full time ₱1,200,000 - ₱2,400,000 per year

    Responsible for providing domain-expertise, process-related guidance, may assume quality audit, trainer/ coding instructor and/or team management leadership and support, as per business need.Primary duties may include, but are not limited to:Serves as a first line resource for operation associates for workflow and technical related processes; provides...