26 Medical Records Specialist jobs in the Philippines
Medical Records Specialist
Manila, Metropolitan Manila
NTT DATA North America
Posted 13 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.
0
Medical Coder - Quezon City (Transplant Inpatient Medical Coding)
National Capital Region, National Capital Region
TASQ Staffing Solutions
Posted 25 days ago
Job Viewed
Job Description
About the job In-Patient Medical Coder (Quezon City) | Onsite
Location: Quezon City / 100% ONSITE br>
Qualifications:
Active CIC or CCS Certification
College Graduate of BS Nursing or Med Allied Course
3 years Inpatient Medical Coding Experience with 1 year Transplant Inpatient Medical Coding Experience
Responsibilities:
The coder is responsible for meticulously reviewing inpatient medical records to assign the correct ICD-10-CM and PCS codes for diagnoses and procedures, ensuring accurate sequencing and proper Present on Admission (POA) indicator assignment.
Location: Quezon City / 100% ONSITE br>
Qualifications:
Active CIC or CCS Certification
College Graduate of BS Nursing or Med Allied Course
3 years Inpatient Medical Coding Experience with 1 year Transplant Inpatient Medical Coding Experience
Responsibilities:
The coder is responsible for meticulously reviewing inpatient medical records to assign the correct ICD-10-CM and PCS codes for diagnoses and procedures, ensuring accurate sequencing and proper Present on Admission (POA) indicator assignment.
This advertiser has chosen not to accept applicants from your region.
1
Medical Records Staff (with ICD-10 Coding Certification)
Makati, National Capital Region
Dempsey Inc.
Posted today
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.
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.
This advertiser has chosen not to accept applicants from your region.
2
Medical Records Staff (with ICD-10 coding certification)
Makati, National Capital Region
Dempsey Resource Management Inc.
Posted 9 days ago
Job Viewed
Job Description
MEDICAL RECORDS STAFF (WITH ICD-10 CODING CERTIFICATION)
br>Qualifications:
⦁ Must be a college graduate of any course. < r>⦁ referably with one (1) year relevant experience with the job. < r>⦁ W th ICD-10 Coding Certification. < r>⦁ G od communication skills. < r>⦁ C mputer literate with proficiency in MS Office, using MS Word, and MS Excel. < r>
Job Description:
⦁ A signed to safeguard the contents of medical records. < r>⦁ R sponsible to make sure that charts are returned in medical records daily. < r>⦁ P oper labeling and filing of charts. < r>⦁ O her duties deemed necessary by the Immediate Head.
br>Qualifications:
⦁ Must be a college graduate of any course. < r>⦁ referably with one (1) year relevant experience with the job. < r>⦁ W th ICD-10 Coding Certification. < r>⦁ G od communication skills. < r>⦁ C mputer literate with proficiency in MS Office, using MS Word, and MS Excel. < r>
Job Description:
⦁ A signed to safeguard the contents of medical records. < r>⦁ R sponsible to make sure that charts are returned in medical records daily. < r>⦁ P oper labeling and filing of charts. < r>⦁ O her duties deemed necessary by the Immediate Head.
This advertiser has chosen not to accept applicants from your region.
3
Medical Records Staff (With Icd-10 Coding Certification)
Makati, National Capital Region
Dempsey Resource Management Inc.,
Posted 12 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.
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.
This advertiser has chosen not to accept applicants from your region.
4
Medical Records Staff (with ICD-10 coding certification)
Makati City, National Capital Region
Dempsey Resource Management Services, INC
Posted 23 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.
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.
This advertiser has chosen not to accept applicants from your region.
5
Medical Records Staff (With ICD-10 Coding Certification)
Makati City, National Capital Region
DRM Inc.
Posted 25 days ago
Job Viewed
Job Description
JOB TYPE: Full-time
WORK LOCATION: Makati City br>
JOB DESCRIPTION:
Assigned to safeguard the contents of medical records. < r>Responsible 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>
QUALIFICATIONS:
ust be a college graduate of any course. < r> referably 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
WORK LOCATION: Makati City br>
JOB DESCRIPTION:
Assigned to safeguard the contents of medical records. < r>Responsible 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>
QUALIFICATIONS:
ust be a college graduate of any course. < r> referably 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
This advertiser has chosen not to accept applicants from your region.
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6
Medical Records Staff (with ICD-10 Coding Certification) Makati
Makati, National Capital Region
Dempsey Resource Management Inc
Posted 22 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.
-With ICD-10 Coding Certification.
-Good communication skills.
-Computer literate with proficiency in MS Office, using MS Word, and MS Excel.
-Amenable for 1 year contact
-Can start immediatel
Job Description:
-Assigned to safeguard the contents of medical records.
-Responsible to make sure that charts are returned in medical records daily.
-Proper labeling and filing of charts.
-Other duties deemed necessary by the Immediate Head.
-Must be a college graduate of any course. br>-Preferably with one (1) year relevant experience with the job.
-With ICD-10 Coding Certification.
-Good communication skills.
-Computer literate with proficiency in MS Office, using MS Word, and MS Excel.
-Amenable for 1 year contact
-Can start immediatel
Job Description:
-Assigned to safeguard the contents of medical records.
-Responsible to make sure that charts are returned in medical records daily.
-Proper labeling and filing of charts.
-Other duties deemed necessary by the Immediate Head.
This advertiser has chosen not to accept applicants from your region.
7