30 Medical Review Jobs in National Capital Region - page 2
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Clinical Denials Specialist Coronis Health - Pasig City, National Capital Region Clinical Denial Representative is responsible to review patient's medical claim when resolving edits for compliance (prior billing) and issues on rejections (rejected by the payor) in the physician 12 days ago
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Quality Assurance Associate (Mandaluyong) Genfinity - Makati or business-related field, or equivalent experience. 3+ years of experience in medical bill review, with direct experience in a workers compensation setting required. At least 1 year of experience in quality 11 days ago
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Clinical Appeals Nurse (PHRN) Temporary WFH Coronis Health - Pasig, 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 15 days ago
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Regulatory Affairs Pharmacist Fixus Enterprises - Quezon City, Philippines regulatory guidelines regarding medical device labeling, packaging, and advertising. Review and approve marketing materials to ensure accuracy and compliance with regulatory requirements. Conduct regular More than 30 days ago
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Prior Authorization Virtual Assistant Vital Virtuals Global HR Solutions LLC - Manila, Metro Manila, Philippines authorizations for medications, diagnostic imaging (MRI, CT, ultrasound), and medical procedures. Communicate with insurance companies to verify benefits, obtain pre-certification, and resolve authorization issues 13 days ago
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Medical Quality Assurance Nurse l WFH l Night shift Manpower Core Group Inc. - Quezon City, National Capital Region : As a Medical Quality Assurance Specialist, you will: Audits daily notes for proper documentation and ensures chart reviews are timely, accurate, and meet all data requirements under CMS guideline Collaborates 55000 More than 30 days ago
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Inpatient Medical CoderV-Call Center Link Inc.
Manila, Philippines Accurate Coding & Documentation: Review inpatient medical records, assign accurate ICD-10-CM and PCS codes, sequence diagnoses and procedures, and ensure correct POA indicators. Compliance & Claims More than 30 days ago -
Profee Medical Coding Auditor (up to 70k Sign On Bonus) Coronis Health - Pasig City, National Capital Region to coding guidance, facility specific instructions and confidentiality of information. Reviews and develop reports essential for quality and compliance standards. Medical coding auditor reports to Operations 17 days ago
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Medical Coding Trainee (Onsite) Coronis Health - Pasig City, National Capital Region medical records using the latestappropriate International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding systems. Job Functions: ➢ Review and learn the relevant medical 17 days ago
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Medical Virtual Assistant (Remote) ClearDesk, LLC - Manila, Philippines of employment Must be comfortable with using Hubstaff, a time-tracking application Professional-level English (written and verbal/voice) Strong understanding of medical terminology and ICD-10 coding Excellent 16 days ago
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