32 Clinical Abstractor jobs in the Philippines
0
Medical Records Retrieval
National Capital Region, National Capital Region
IFive Inc.
Posted 8 days ago
Job Viewed
Job Description
Highlights
br>Competitive compensation and benefits packages
Continuous professional development and learning opportunities
Regular engagement activities and events
MEDICAL RETRIEVAL SPECIALIST
Work for our global clients and immerse in our rich and diverse company culture where you can thrive, grow and be #DecidedlyDifferent!
ROLE OVERVIEW
We are looking for a Medical Retrieval Specialistto be part of our team.
The primary focus of the role is to contact, follow up with, and retrieve both medical records and billing statements from individual physicians, medical groups, and hospitals.
MAIN RESPONSIBILITIES
The Medical Retrieval Specialist shall perform duties and responsibilities including but not limited to the following:
Retrieves record evidence for approximately 100 - 150 cases a month, 5 - 15 records facilities per case
Submits medical records
Contacts facilities to follow-up on requests for evidence
Distributes electronic records
Maintain a high level of customer service skills.
Protect the security of medical records to ensure that confidentiality is maintained in observance of the HIPAA compliance policy
Other duties as may be assigned
REQUIREMENTS
A minimum of two years of BPO experience with a focus on medical records retrieval, or two years of experience in a healthcare campaign.
Comfortable with technology like MS office applications and internet browsing.
Must be able to work in our site at 8th Floor Zeta Tower Bridgetowne, C-5 Quezon City
br>Competitive compensation and benefits packages
Continuous professional development and learning opportunities
Regular engagement activities and events
MEDICAL RETRIEVAL SPECIALIST
Work for our global clients and immerse in our rich and diverse company culture where you can thrive, grow and be #DecidedlyDifferent!
ROLE OVERVIEW
We are looking for a Medical Retrieval Specialistto be part of our team.
The primary focus of the role is to contact, follow up with, and retrieve both medical records and billing statements from individual physicians, medical groups, and hospitals.
MAIN RESPONSIBILITIES
The Medical Retrieval Specialist shall perform duties and responsibilities including but not limited to the following:
Retrieves record evidence for approximately 100 - 150 cases a month, 5 - 15 records facilities per case
Submits medical records
Contacts facilities to follow-up on requests for evidence
Distributes electronic records
Maintain a high level of customer service skills.
Protect the security of medical records to ensure that confidentiality is maintained in observance of the HIPAA compliance policy
Other duties as may be assigned
REQUIREMENTS
A minimum of two years of BPO experience with a focus on medical records retrieval, or two years of experience in a healthcare campaign.
Comfortable with technology like MS office applications and internet browsing.
Must be able to work in our site at 8th Floor Zeta Tower Bridgetowne, C-5 Quezon City
This advertiser has chosen not to accept applicants from your region.
1
Medical Records Staff
Makati, National Capital Region
Dempsey
Posted 14 days ago
Job Viewed
Job Description
Qualifications:
Must be a college graduate of any course. br>Preferably with one (1) year relevant experience with the job. < r> ith ICD-10 Coding Certification. < r> ood communication skills. < r> omputer literate with proficiency in MS Office, using MS Word, and MS Excel. < r>
Job Description:
ssigned to safeguard the contents of medical records. < r> esponsible to make sure that charts are returned in medical records daily. < r> roper labeling and filing of charts. < r> ther duties deemed necessary by the Immediate Head. < r>
Note: ALL POSITIONS ARE FOR DIRECT HIRE AND NOT UNDER AGENCY
Must be a college graduate of any course. br>Preferably with one (1) year relevant experience with the job. < r> ith ICD-10 Coding Certification. < r> ood communication skills. < r> omputer literate with proficiency in MS Office, using MS Word, and MS Excel. < r>
Job Description:
ssigned to safeguard the contents of medical records. < r> esponsible to make sure that charts are returned in medical records daily. < r> roper labeling and filing of charts. < r> ther duties deemed necessary by the Immediate Head. < r>
Note: ALL POSITIONS ARE FOR DIRECT HIRE AND NOT UNDER AGENCY
This advertiser has chosen not to accept applicants from your region.
2
Medical Records Specialist
Manila, Metropolitan Manila
NTT DATA North America
Posted 7 days ago
Job Viewed
Job Description
**Roles and Responsibilities:**
+ Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal
+ Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards
+ Communicates with members, providers, facilities, and other departments regarding appeals requests
+ Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards
+ Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeals requests
+ Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices
+ Individuals have a well-rounded knowledge of the policies and procedures for appeals processing, specifically Medicare and medical necessity review.
+ Uses sound judgment, especially in non-routine appeals, to make decisions to keep the appeal process moving forward in accordance with contractual timeliness standards
+ Maintain files on individual appeals by gathering, analyzing and reporting verbal and written member and provider appeals.
+ Review claim appeal for reconsideration and recommend approvals/denials based on determination level or prepare for medical review presentation.
+ Prepare case recommendations for medical review as necessary.
**Requirements:**
+ 2 - 4 years of experience in processing appeals or utilization management
+ RN - Registered Nurse - State required Licensure and/or Compact State Licensure
+ Knowledge of utilization management processes
+ Knowledge of NCQA, Medicare and Medicaid regulations
+ Good communication (Demonstrate strong reading comprehension and writing skills)
+ Able to work independently, strong analytic skills
Required shift timings:
US daytime
+ Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal
+ Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards
+ Communicates with members, providers, facilities, and other departments regarding appeals requests
+ Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards
+ Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeals requests
+ Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices
+ Individuals have a well-rounded knowledge of the policies and procedures for appeals processing, specifically Medicare and medical necessity review.
+ Uses sound judgment, especially in non-routine appeals, to make decisions to keep the appeal process moving forward in accordance with contractual timeliness standards
+ Maintain files on individual appeals by gathering, analyzing and reporting verbal and written member and provider appeals.
+ Review claim appeal for reconsideration and recommend approvals/denials based on determination level or prepare for medical review presentation.
+ Prepare case recommendations for medical review as necessary.
**Requirements:**
+ 2 - 4 years of experience in processing appeals or utilization management
+ RN - Registered Nurse - State required Licensure and/or Compact State Licensure
+ Knowledge of utilization management processes
+ Knowledge of NCQA, Medicare and Medicaid regulations
+ Good communication (Demonstrate strong reading comprehension and writing skills)
+ Able to work independently, strong analytic skills
Required shift timings:
US daytime
This advertiser has chosen not to accept applicants from your region.
3
Medical Records Officer
Antipolo, Rizal
FATIMA UNIVERSITY MEDICAL CENTER
Posted today
Job Viewed
Job Description
Join Fatima University Medical Center and be part of the fastest growing tertiary hospital in the country today!
We are currently in need of MEDICAL RECORDS OFFICER with the following qualifications and responsibilities:
1. Supervises the work of the medical records staff and monitor the workflow to ensure smooth operations
2. Coordinates with all the departments and sections of the hospital on matters pertaining to the completion of the medical records chart
3. Coding the Diseases using ICD 10
4. Encode all the patients details in the admission book
5. Assist patients, relatives doctors, nurses, students and co-worker to their needs
6. Certify and release the photocopy of requested documents of the patient
7. Received Birth Certificate from Nursery Department to the register at Local Civil Registar
Bachelor's/College Degree in any field preferably a Nurse or other paramedical degree
- With ICD 10 training certificate
- At least 1 year related experience in a hospital or clinic setting
- Computer savvy with fast and accurate typing skills
- Strong organizational abilities and attention to detail
- Outstanding customer service skills
**Salary**: From Php20,000.00 per month
Schedule:
- 8 hour shift
Ability to commute/relocate:
- Antipolo, Rizal: Reliably commute or planning to relocate before starting work (required)
We are currently in need of MEDICAL RECORDS OFFICER with the following qualifications and responsibilities:
1. Supervises the work of the medical records staff and monitor the workflow to ensure smooth operations
2. Coordinates with all the departments and sections of the hospital on matters pertaining to the completion of the medical records chart
3. Coding the Diseases using ICD 10
4. Encode all the patients details in the admission book
5. Assist patients, relatives doctors, nurses, students and co-worker to their needs
6. Certify and release the photocopy of requested documents of the patient
7. Received Birth Certificate from Nursery Department to the register at Local Civil Registar
Bachelor's/College Degree in any field preferably a Nurse or other paramedical degree
- With ICD 10 training certificate
- At least 1 year related experience in a hospital or clinic setting
- Computer savvy with fast and accurate typing skills
- Strong organizational abilities and attention to detail
- Outstanding customer service skills
**Salary**: From Php20,000.00 per month
Schedule:
- 8 hour shift
Ability to commute/relocate:
- Antipolo, Rizal: Reliably commute or planning to relocate before starting work (required)
This advertiser has chosen not to accept applicants from your region.
4
Medical Records Staff (Registered Nurse)
New World Diagnostics Inc.
Posted today
Job Viewed
Job Description
Registered Nurse
- Preferably with medical records or health-services related clerical work experience
- Computer literate, with sense of urgency
- Trustworthy and dependable
- Willing to be assigned in D. Tuazon Main branch
Schedule:
- 8 hour shift
Ability to commute/relocate:
- Quezon City: Reliably commute or planning to relocate before starting work (required)
**Education**:
- Bachelor's (required)
**Language**:
- English (preferred)
License/Certification:
- Nursing License (required)
- Preferably with medical records or health-services related clerical work experience
- Computer literate, with sense of urgency
- Trustworthy and dependable
- Willing to be assigned in D. Tuazon Main branch
Schedule:
- 8 hour shift
Ability to commute/relocate:
- Quezon City: Reliably commute or planning to relocate before starting work (required)
**Education**:
- Bachelor's (required)
**Language**:
- English (preferred)
License/Certification:
- Nursing License (required)
This advertiser has chosen not to accept applicants from your region.
5
Medical records staff with ICD-10
Bulacan, Bulacan
Dempsey management inc
Posted 1 day ago
Job Viewed
Job Description
Medical records staff play a crucial role in health care by managing and organizing patient information,including the accurate application of ICD-10 codes. These staff member are responsible for maintaining the integrity and confidentiality of medical records,ensuring proper documentation,and supporting accurate billing and reimbursement processes.
This advertiser has chosen not to accept applicants from your region.
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6
Medical records staff with ICD-10
Makati, National Capital Region
Dempsey management inc
Posted 2 days ago
Job Viewed
Job Description
Medical records staff with ICD-10 expertise are responsible for managing and organizing patient information, specifically using the international classification of diseases,tenth revision (ICD-10) coding system. This involves assigning appropriate ICD -10 codes to diagnoses and procedures documented in patient records,ensuring accuracy and compliance with healthcare documentation standards.
This advertiser has chosen not to accept applicants from your region.
7
Medical Records Staff (ICD-10) - Makati
Makati, National Capital Region
Dempsey Resource Management Inc.
Posted 3 days ago
Job Viewed
Job Description
Job Description:
- Encode and manage patient records using ICD-10 br>- Ensure confidentiality and accuracy of data
- Coordinate with billing and clinical teams
Qualifications:
- ICD-10 coding certification
- Experience in medical records or HIM
- High attention to detail and data integrity
- Encode and manage patient records using ICD-10 br>- Ensure confidentiality and accuracy of data
- Coordinate with billing and clinical teams
Qualifications:
- ICD-10 coding certification
- Experience in medical records or HIM
- High attention to detail and data integrity
This advertiser has chosen not to accept applicants from your region.
8