Job ID: 7288

  • Dec 20, 2018
  • Picadilly Star - Bonifacio Global City
  • Encoding Skills
  • Diagnostic Coding
  • Clinical Abstraction
  • Registered Nurse - PH

Clinical Readers are responsible for applying clinical and/or medical coding knowledge in the review of evidentiary documentation in medical records. This position requires the ability to perform and complete diagnostic coding, abstraction of pharmaceutical studies, HEDIS medical records review and other related duties in a high quality and productive environment.

Responsibilities:

Clinical Abstraction assignments may include work from all lines of Company business (e.g., diagnostic auditing, HEDIS review, drug safety/efficacy studies). Each assignment will have specific requirements and time-lines.

  • Diagnostic Coding: Clinical Readers review assigned medical records and apply appropriate diagnostic codes and modifiers according to Generally Accepted Medical Coding Guidelines, ICD-10-CM Guidelines and CMS Correct Coding Initiatives, coding guidelines approved by CMS, and all rules, regulations and guidelines promulgated by CMS and applicable to contractors and subcontractors of CMS-approved sponsors (collectively “Standards”), all as reasonably interpreted by the Company.
  • HEDIS Reviews: Clinical Readers review assigned medical records and document measure specific clinical data according to NCQA technical specifications for hybrid medical records reviews.
  • Health Outcomes Studies: Clinical Readers review assigned medical records and document relevant clinical data according to stated study objectives.
  • Other specific details of the job will be made known to the employee by their immediate supervisor which may be in varying scope dependently on prevailing project undertakings.

Application processing is done in our Career Hub at Ground Floor, Two Ecom Center, Tower A, Harbor Drive, MOA Complex, Pasay City. Identified candidates will work at our BGC office.

Qualifications:

  • With at least 6 months of clinical / hospital experience
  • Active Nursing License REQUIRED
  • Excellent written and oral communication skills
  • Flexibility in work schedule to meet departmental needs
  • Proficiency in Microsoft Word, Outlook and Excel required
  • Amenable to work in BGC, Taguig on a shifting schedule

What's in it for you?
  • Competitive Compensation and Benefits package
  • Private HMO Coverage with coverage of up to 2 dependents*
  • Group Life Insurance
  • Flexible Medical Reimbursement**
  • Performance Bonus and allowances**
  • Up to 25** Paid Time Off days in a year

You will be working for Change Healthcare Philippines, Inc. Change Healthcare is headquartered in Nashville, Tennessee, USA. The company provides healthcare consumer engagement and cost transparency tools to health plans and large, self-insured employers across the United States.Change Healthcare is a catalyst for your value-based healthcare system. We are a healthcare technology company that offers software, analytics, network solutions, and technology-enabled services to help create a stronger, more collaborative healthcare system. We help deliver measurable value not only at the point of care, but also before, after, and in between care episodes.

MicroSourcing offers diversity in career options. We welcome individuality in self-expression without losing the value for team involvement. We are a fresh look at the BPO & KPO industry. Come experience the MicroSourcing life and be part of our growing family.

Cultures and Values

We are a fast growing company but we have always been able to keep the fun, young and intimate atmosphere from the time we started. We strongly believe in transparency and honesty and we always make sure to represent the interests of our employees as much as we represent the interests of our clients.