All Job Profiles in Picadilly Star - 23 job opening/s found

  • Dec 7, 2020
  • Picadilly Star, Bonifacio Global City
Be part of a a leading independent healthcare technology and business solutions 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. Change Healthcare provides data and analytics-driven solutions and services to help improve clinical, financial, and patient engagement ... Read more
  • Nov 16, 2020
  • Picadilly Star, Bonifacio Global City
The Operations Support Manager will be responsible for managing teams of Operations/Coding support as well as Clinical RN/Audit support. This position will serve as a Manager for Payment Accuracy teams and will direct and support the day to day activities of assigned staff, provide accurate and timely resolution for lines of business and work closely with US Payment Accuracy Solution teams. The manager will act with expertise using clear and effective verbal and written communication skills, ... Read more
  • Nov 16, 2020
  • Picadilly Star, Bonifacio Global City
The Claim Review Operations Manager will be responsible for managing teams of Operations/Coding support as well as Clinical RN/Audit support. This position will serve as a Manager for Payment Accuracy teams and will direct and support the day to day activities of assigned staff, provide accurate and timely resolution for lines of business and work closely with US Payment Accuracy Solution teams. The manager will act with expertise using clear and effective verbal and written communication ... Read more
  • Nov 16, 2020
  • Picadilly Star, Bonifacio Global City
The Claim Review Operations Manager (DRG Validation) will be responsible for managing teams of Operations/Coding support as well as Clinical RN/Audit support. This position will serve as a Manager for Payment Accuracy teams and will direct and support the day to day activities of assigned staff, provide accurate and timely resolution for lines of business and work closely with US Payment Accuracy Solution teams. The manager will act with expertise using clear and effective verbal and written ... Read more
  • Nov 9, 2020
  • Picadilly Star, Bonifacio Global City
The Coding Analyst possesses a solid understanding of CPT Coding and CMS rules and regulations along with excellent writing and computer skills. This position frequently researches and interprets healthcare correct coding using regulatory requirements and guidance related to CMS, CPT/AMA and other major payer policies. They also use internal business rules to prepare written documentation of findings through medical record review. The Coding Analyst possesses an overall understanding of all ... Read more
  • Nov 9, 2020
  • Picadilly Star, Bonifacio Global City
The Clinical Content Analyst/Developer researches, analyzes and creates clinical content for the business 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 professional and facility claims.The role of the ... Read more
  • Nov 9, 2020
  • Picadilly Star, Bonifacio Global City
The Clinical Review Auditor has an extensive clinical and reimbursement background and is responsible for auditing inpatient medical records and applying clinical criteria and guidelines to ensure documented diagnoses are clinically valid. The Clinical Review Auditor also screens claims data and responds to provider appeals, rebuttals, and disputes. The Clinical Review Auditor works closely with DRG analysts and provides clinical insight for DRG validations as necessary Primary ... Read more
  • Nov 9, 2020
  • Picadilly Star, Bonifacio Global City
The DRG Analyst has an extensive coding and reimbursement background and is responsible for auditing inpatient medical records and assigning ICD-10 diagnosis and procedure codes in accordance with the ICD-10 Official Coding Guidelines and AHA Coding Clinic Guidelines. The DRG Analyst also screens claims data and responds to provider appeals, rebuttals, and disputes. The DRG Analyst works closely with Clinical Validation Auditors to refer audits for clinical review. Primary ... Read more
  • Oct 28, 2020
  • Picadilly Star, Bonifacio Global City
The Insight Analyst Assistant is responsible for providing support to the Insight Record Review, Clinical, and Coding Operations teams in order to facilitate the administrative components of case analysis for various record review services. Acts as a liaison between external parties such as hospitals, physicians, health plans, vendors, patients, and referral sources and Insight Record Review Team. Interacts with other internal clients such as client services, account managers, data analysts ... Read more
  • Oct 7, 2020
  • Picadilly Star, Bonifacio Global City
Be part of a a leading independent healthcare technology and business solutions 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. Change Healthcare provides data and analytics-driven solutions and services to help improve clinical, financial, and patient engagement ... Read more