All Healthcare Data Processings
- 4 job opening/s found
Oct 21, 2019
Picadilly Star, Bonifacio Global City
The Clinical Content Analyst/Developer researches, analyzes and creates clinical drug, medication and high cost injectables content for the Specialty pharmacy rules for Change Healthcare’s Clinical Claims Management (CCM). The CCM Product Line is a fast-paced environment with contractually driven quarterly deliverables. The CCM products are utilized by payer organizations to augment claims management systems, by electronically auditing medical claims, for accurate processing of both ...
MicroSourcing Philippines Inc. is currently hiring for Medical Claims Solutions Consultants!Our client is an organization that provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers, and patients in the U.SAs a Medical Claims Solutions Consultant, you are mainly responsible in: Understanding their assigned clients claim systems and payment policies so they may document requirements for implementing services and rule ...
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 ...
Medical Coders 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, ...
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