40 Medical Review Jobs in Baguio
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PHRN / Clinical Denials and Appeals Manpower Core Group Inc. - Taguig City, National Capital Region inpatient and/or outpatient medical necessity and authorization denials to determine and understand the validity of such denials in a timely manner --Should conduct comprehensive reviews of the claim denial 50000 5 days ago
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Medical Records Specialist NTT DATA Services - Manila, PH organization, apply now. We are currently seeking a Medical Records Specialist to join our team in Manila, National Capital Region (PH-00), Philippines (PH). Grade 5 Performs clinical reviews needed to resolve 8 days ago
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Remote Medical Coding Specialist (Certification Required) Hampton Healthcare - Manila, Metro Manila , and ensuring compliance with all regulatory requirements. Your work directly supports both the quality of patient care and the financial integrity of our organization. Key Responsibilities: Review and analyze 9 days ago
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Coding Denial Specialist Coronis Health - Pasig City, National Capital Region appeal resolution. Demonstrates proficiency in utilization of electronic tools utilized during the medical record quality review process including but not limited to application of coding guidelines 15 days ago
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Medical Billing Specialist CompIQ Solutions, LLC - Pasay, Philippines Encodes medical bills such as pharmacy, physical therapy, pathology, radiology, DME, anesthesia, med-legal, and other bills using IQ Review System. Meet daily production quotas in analyzing 15 days ago
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Certified Medical Coder | IP coder | WFH Access Healthcare Services - Taguig ) and a Certified Professional Coder (CPC) with at least 1 year of experience in Inpatient coding. A strong understanding of ICD-10 and PCS coding is essential to excel in this role. Key Responsibilities: Review 5 days ago
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Clinical Appeals Nurse Writer (PHRN) Coronis Health Philippines - Pasig City, National Capital Region Performs medical record reviews concurrently and/or retrospectively and be able to determine why cases are denied and whether an appeal is required Able to review clinical denials in a timely manner 4 days ago
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Allied Healthcare Specialist MetHealth - Quezon City, Philippines Conduct in-depth utilization reviews to ensure medical necessity and appropriate care Assess eligibility and validity of medical claims with accuracy and compliance Collaborate with healthcare 3 days ago
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Medical Coder Go-Get Data Consultancy - Pasig, Philippines skills including Microsoft Office Suite. Skills to work independently and be resourceful with the ability to multitask. As a medical coding, you will review patient medical records and assign codes More than 30 days ago
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Healthcare CSR (Medical Invoicing) LDE ISTA Personnel Solutions - Mandaluyong, Metro Manila folders Review Medical Billing files for needed adjustments. Requirements At least 1-year BPO experience handling a healthcare account With experience in processing medical invoices Medical records 18 days ago
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