Job Description
Responsibilities:
- Perform regular audits of clinical practices, patient records, and healthcare processes.
Analyze audit findings and data to identify trends, patterns, and areas of risk.- Monitor the effectiveness of implemented changes and provide ongoing support.
Ensure that the organization complies with all relevant regulatory requirements.
- Develop educational materials and resources to support ongoing staff development.
Required Skills:
- Registered Nurse with CIC/CCS certification and prior auditing/DRG experience preferred.
Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred.- Possesses knowledge of healthcare claims payment policy and processing specifically CMS, Medicaid regulations, ICD-10 CM & DRG Expert, etc.
Practical clinical experience working in a hospital/office or nursing home.
- Has general knowledge of medical procedures, conditions, illnesses, and treatment practices.
Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency.- Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc.
Additional Notes:- This position will be working with solutions and analytics company.
Working Set-up: Onsite
Complete details will provide by our Recruiters.
Job Types: Full-time, Permanent
Pay: Php50,- 00 - Php90,000.00 per month
Schedule: - 8 hour shift
Day shift
Night shift
Supplemental Pay: Bonus pay
Education:
Experience:
- Auditing: 1 year (Preferred)
License/Certification:
* Registered Nurse with CIC/CCS certification (Required)
