7 Clinical Documentation jobs in the Philippines

Clark Freeport Zone, PH-PAM

Position Type

Full Time

Requisition ID

12410

Level of Education

Years of Experience

About Exela

Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of expertise operating mission-critical processes, Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune 100. With foundational technologies spanning information management, workflow automation, and integrated communications, Exela's software and services include multi-industry department solution suites addressing finance & accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors. - Through cloud-enabled platforms, built on a configurable stack of automation modules, and 17,500+ employees operating in 23 countries, Exela rapidly deploys integrated technology and operations as an end-to-end digital journey partner.

LexiCode

Clinical Documentation Improvements (CDI) Specialist, Consulting

Job Summary-

As a CDI Specialist at LexiCode, you will join a dynamic team of experts dedicated to delivering exceptional CDI services to our clients. Your primary responsibility will be to review inpatient medical records for completeness, accuracy and quality of documentation, then formulate clinically credible documentation clarifications as needed. These positions work in our Clark or Subic offices.

Job Description

Essential Job Responsibilities

• Review of inpatient medical records for completeness, accuracy and quality of documentation;
• Formulate clinically credible documentation clarifications
• Request documentation clarifications as appropriate for DRG, Severity of Illness, Risk of Mortality and Patient Safety
• Conduct effective and appropriate communication with physicians/mid-level providers
• Provide timely follow up on all cases to ensure resolution of queries
• Communicate with coding staff and resolve discrepancies

Minimum Qualifications

• RN with CCS or CIC credential.
• 3 or more years of Inpatient coding experience in complex med/surg environment
• Excellent clinical knowledge to support documentation clarifications
• Solid understanding of DRG classification methodology
• Excellent written and verbal communication skills

Disclaimer:

Exela is committed to creating a diverse environment and is proud to be an equality opportunity employer. Qualified applicants will considered for employment without regard to their race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, gender/sex, marital status, sexual orientation, gender identity, gender expression, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

Exela recruiters or representatives will only contact you from emails ending with , , , or We would never ask you for payment or ask you to deposit a check into your personal bank account during the recruitment process.

This is a work from home set up.

Per hour rate: 115 plus Internet Allowance 2,000

Part time - Project Based

Job Overview:

We are seeking a detail-oriented and efficient Clinical Documentation Assistant to

join our client's team. This role involves providing remote support to a company in the

healthcare industry by managing and improving the documentation of patient

records. The ideal candidate will have a strong understanding of medical

terminology, excellent organizational skills, and a commitment to maintaining

accurate and complete medical records.

Key Responsibilities

1. Proficient in documenting clinical treatment plans, group notes, ASAMs, intake
   
   assessments, and one-on-one notes
2. Accurately document patient encounters, histories, clinical findings, discharge
   
   summary, during or after consultations/confinement
3. Enter information, lab results, and other relevant data into electronic health
   
   records (EHR) system patients.
4. Regularly update patient records with new information, including diagnoses,
   
   treatments, and follow-up plans.
5. Assist with the assignment of appropriate medical codes based on
   
   documented information.
6. Review documentation for completeness, accuracy, and consistency.
7. Ensure documentation adheres to healthcare regulations and standards (e.g.,
   
   HIPAA).
8. Assist with internal and external audits by providing necessary documentation
   
   and information.
9. Provide reminders for follow-up care, medication renewals, and other clinical
   
   tasks.
10. Document patient follow-up care instructions and ensure effective
    
    communication with the patient.

Qualifications:

At least college-level

Understanding of medical terminology, clinical procedures, and healthcare documentation standards.

Ability to accurately and thoroughly document patient information.

Familiarity with Electronic Health Records (EHR) systems, medical coding, and other relevant software.

Strong written and verbal communication skills to interact effectively.

Adherence to patient confidentiality and data protection regulations.

Previous experience in a medical office, hospital, or similar healthcare setting is preferred.

Access Healthcare is looking for highly skilled and detail-oriented Clinical Documentation Improvement (CDI) Specialists to join our dynamic pioneer medical coding team. The ideal candidate will play a pivotal role in enhancing the quality and accuracy of clinical documentation to support optimal patient care and compliance with regulatory standards.

Key Responsibilities

• Collaborate with physicians, nurses, and other healthcare professionals to ensure complete and accurate documentation in patient medical records.
• Review medical records to identify documentation gaps, inconsistencies, or errors and recommend appropriate changes.
• Conduct in-depth chart reviews for compliance with coding and clinical guidelines, focusing on in-patient coding.
• Provide education and feedback to healthcare staff on proper documentation practices, coding requirements, and regulatory changes.
• Analyze data trends and provide actionable insights to improve documentation processes.
• Participate in interdisciplinary team meetings to discuss documentation improvement opportunities.
• Ensure compliance with HIPAA and other relevant regulations in all documentation activities.
• Collaborate with quality assurance teams to monitor and report on CDI metrics and performance.

Qualifications

• Education: Must a Registered Nurse with Active PRC license
• Certification: Active In-Patient Coding Certification (e.g., CCS, RHIA, or equivalent).

Experience:

• At least 1 year of in-patient coding / CDI experience.
• At least 1 year bedside experience
• Experience in a BPO setting is an advantage.

Skills:

• Strong knowledge of ICD-10-CM/PCS coding guidelines and clinical terminologies.
• Excellent communication and interpersonal skills to collaborate with various stakeholders.
• Proficient in electronic medical record (EMR) systems and CDI tools.
• Analytical mindset with attention to detail.
• Ability to educate and influence clinical staff effectively.

Key Competencies

• Strong understanding of healthcare documentation standards and coding regulations.
• Ability to work in a fast-paced and dynamic environment.
• Effective problem-solving and critical thinking skills.
• Commitment to maintaining patient confidentiality and data security.

Why Join Us?

• Competitive salary and benefits package.
• Opportunities for professional growth and career advancement.
• Collaborative work culture and supportive team environment.
• Exposure to international healthcare documentation standards.

Join our team as a CDI Specialist and play a vital role in ensuring that clinical records reflect the true complexity of patient care. Your expertise will help bridge the gap between clinical care and coding, supporting better outcomes, compliance, and reimbursement.

Key Responsibilities

• Review inpatient and outpatient medical records for completeness, accuracy, and compliance.
• Collaborate with physicians, nurses, and coders to clarify documentation.
• Identify opportunities for improvement in clinical documentation practices.
• Ensure documentation supports appropriate coding and DRG assignment.
• Educate healthcare providers on best practices in documentation.
• Monitor CDI metrics and contribute to continuous improvement initiatives.

Qualifications

• Graduate of Nursing, Allied Health, or any medical-related course.
• Clinical background preferred.
• Experience in CDI/coding is required
• Certification in CDI (e.g., CCDS, CDIP) is a strong advantage.
• Knowledge of ICD-10-CM/PCS coding and DRG systems.
• Strong analytical, communication, and interpersonal skills.
• Experience with EHR systems and CDI software tools.

Why Join Us?

• Be part of a mission-driven team improving healthcare quality.
• Work in a collaborative and supportive environment.
• Opportunities for professional growth and certification support.
• Competitive compensation and benefits package.
• Hybrid work setup

Discover your 100% YOU with MicroSourcing

Position: Clinical Documentation Specialist (Intermediate)

Work setup & shift: Onsite and Night shift

Site: 1880 Building Eastwood, Libis, Quezon City

Why join MicroSourcing?

You'll Have

• Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
• A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
• Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
• Career Growth: Take advantage of opportunities for continuous learning and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

**Your Role:

As a Clinical Documentation Specialist (Intermediate), you will be responsible for:
Position Summary**
The Therap Documentation Specialist ensures accurate entry, review, and amendment of service notes and plans of care in the Therap system. This role supports compliance with Medicaid requirements, quality of care, and timely billing for services provided to adults with intellectual and developmental disabilities (IDD). The position requires high-level English proficiency, professionalism, strict confidentiality, and the ability to work independently while taking full accountability for one's actions.

Key Responsibilities

• Enter and review client service notes in Therap.
• Enter and amend plans of care in the Therap system.
• Verify documentation for accuracy, completeness, and compliance.
• Flag discrepancies or missing information to supervisors.
• Ensure timely entry of notes to support billing.
• Maintain confidentiality of all client records.
• Generate reports from Therap as needed.
• Collaborate professionally with U.S.-based staff to ensure documentation standards are met.
• Other duties as assigned.

Qualifications

• Experience in data entry, record-keeping, or documentation roles.
• Familiarity with electronic record systems (Therap experience preferred).
• Strong attention to detail and accuracy.
• High-level spoken and written English communication skills.
• Ability to work independently and take full accountability for outcomes.
• Commitment to professionalism and safeguarding protected information.
• Experience in healthcare or IDD services (preferred).

About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU

MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan - it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%

For more information, visit

• Terms & conditions apply

Discover your 100% YOU with MicroSourcing

Position: Clinical Documentation Specialist (Intermediate)

Work setup & shift: Onsite and Night shift

Site: 1880 Building Eastwood, Libis, Quezon City

Why join MicroSourcing?

You'll have:

• Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
• A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
• Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
• Career Growth: Take advantage of opportunities for continuous learning and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Your Role:

As a Clinical Documentation Specialist (Intermediate), you will be responsible for:

The Therap Documentation Specialist ensures accurate entry, review, and amendment of service notes and plans of care in the Therap system. This role supports compliance with Medicaid requirements, quality of care, and timely billing for services provided to adults with intellectual and developmental disabilities (IDD). The position requires high-level English proficiency, professionalism, strict confidentiality, and the ability to work independently while taking full accountability for one's actions.

Key Responsibilities

• Enter and review client service notes in Therap.
• Enter and amend plans of care in the Therap system.
• Verify documentation for accuracy, completeness, and compliance.
• Flag discrepancies or missing information to supervisors.
• Ensure timely entry of notes to support billing.
• Maintain confidentiality of all client records.
• Generate reports from Therap as needed.
• Collaborate professionally with U.S.-based staff to ensure documentation standards are met.

Qualifications

• Experience in data entry, record-keeping, or documentation roles.
• Familiarity with electronic record systems (Therap experience preferred).
• Strong attention to detail and accuracy.
• High-level spoken and written English communication skills.
• Ability to work independently and take full accountability for outcomes.
• Commitment to professionalism and safeguarding protected information.
• Experience in healthcare or IDD services (preferred).

About MicroSourcing

With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU

MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%

For more information, visit

*Terms & conditions apply