Inpatient Coding Auditors Job at Clarus RCM (Pasig, Manila)

Inpatient DRG Nursing Auditor

Join our team in Manila as Inpatient DRG Nursing Auditor. If you’re a registered...

Location

Philippines , Taguig City

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Good Comprehension skills
Strong attention to detail and communication skills
Curious and willing to ask relevant questions
Ability to understand client guidelines related to insurance advantage claims
Must be Philippine Registered Nurse with Active license
Must have an experience in clinical and audit in IP DRG

Job Responsibility

Conduct initial audit reviews to validate billed diagnoses and DRG code are supported by medical records
Record audit results and document finding notes based on policies using professional clinical resources
Perform provider appeals reviews and render decision to either uphold or overturn original finding
Review questionable encoder results, complex cases, and appeal reviews to facilitate referrals to clinical department as needed
Propose new audit concepts supported by your research and analysis
Define new audit concept criteria and test and validate new concepts developed by analytics team
Escalate facility issues per client guidance

Senior Clinical Coding Auditor & Trainer

The Senior Clinical Coding Auditor & Trainer is responsible for developing, cond...

Location

United States

Salary:

Not provided

Bright Vision Technologies

Expiration Date

Until further notice

Requirements

Inpatient coding experience with active CPC, CIC, or CCS certification
Minimum 1 year of clinical experience in a hospital setting
Active nursing license (required)
Strong written and verbal English communication skills
Bachelor’s degree in Nursing or a related clinical field, or equivalent experience
4+ years of experience in nursing, training, or auditing within a managed care or healthcare setting
Prior lead or supervisory experience preferred
Current state Registered Nurse (RN) license
Valid driver’s license may be required for certain positions

Job Responsibility

Develop and maintain complex inpatient coding audit processes and tools
Conduct inpatient coding audits and review medical necessity guidelines
Design and deliver clinical coding education for new and existing staff
Identify training needs and develop appropriate learning materials and aids
Audit staff performance, identify errors, and collaborate on corrective actions
Present audit findings and improvement recommendations to leadership
Evaluate training effectiveness and recommend enhancements
Research and recommend internal and external training programs
Maintain detailed records of training activities and employee progress
Assist with policy, procedure, and workflow revisions related to inpatient coding

Fulltime

Medical Director of Revenue Integrity

The Physician Advisor is a key member of the healthcare organization’s leadershi...

Location

United States , Cheyenne

Salary:

Not provided

Cheyenne Regional Medical Center

Expiration Date

Until further notice

Requirements

Hold and maintain or able to obtain an unrestricted medical license in the state of Wyoming
Possess or acquires a solid foundation, knowledge, and/or experience in the areas of utilization management, quality improvement, and patient safety
Familiarity with InterQual and MCG is preferred
Strong understanding of Medicare Two Midnight Rules
Member of the American College of Physician Advisors (ACPA)
Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) or ACPA is required within 6 months of hire
Ability to build rapport with medical staff and hospital leadership to obtain the buy-in and collaboration necessary to achieve desired outcomes
Prefer Internal Medicine specialist with a background in Hospital Medicine
Maintain active medical practice in their specialty (Can accommodate clinical time up to 0.15 FTE in the specialty (depending on availability))
Demonstrates behavior that supports the organization’s mission

Job Responsibility

Provide functional leadership for the revenue integrity team Including CDI, Coding and Utilization Review
Responsible for oversight revenue integrity optimization
Lead value-based care initiatives for the organization
Chairs the Utilization Management Team
Review medical records of patients identified by case managers or as requested by the healthcare team including physicians to perform quality and utilization oversight
Perform medical necessity reviews including initial level of care, secondary reviews, and continued stay reviews
Conduct Peer to Peer discussion with Payor Medical Directors when requested
Provide regular feedback to physicians and all other stake holders regarding level of care, length of stay, and potential quality issues
Provide necessary clinical education to UR Case Managers regarding clinical criteria and appropriate use of screening tools
Educates individual hospital staff physicians about ICD-10 and DRG coding guidelines (e.g., co-morbid conditions, outpatient vs. inpatient) and clinical terminology to improve their understanding of severity, acuity, risk of mortality, and DRG assignments on their individual patient records

What we offer

403(b) with 4% employer match
ANCC Magnet Hospital
$10,000 relocation bonus
$3,500 in CMEs
216 hours of PTO
Robust Benefits Package

New

Quality Analyst - Contact Center Operations

This role plays a critical part in ensuring our patients receive consistently hi...

Location

Australia

Salary:

Not provided

Eucalyptus

Expiration Date

Until further notice

Requirements

At least 4-5 years of experience in quality control in a fast-paced customer centric environment
A strong customer‑centric mindset, with a keen ability to assess tone, empathy, and communication quality
Analytical and reporting skills, with experience turning data into clear insights and practical recommendations
Strong communication skills, comfortable working with team members at all levels, from frontline specialists to senior stakeholders
Experience in quality assurance, process improvement, or customer support operations is a strong advantage
Can work in a hybrid set-up (2-3x per week on-site) at our hub in Makati

Job Responsibility

Audit patient support interactions (email, live chat, calls) through a patient‑first and empathetic lens to ensure quality, tone, and adherence to internal standards
Produce weekly QA reports for Team Leads, including quality scores, trends, and clear coaching or training recommendations
Analyse QA results and support metrics (e.g. ticket quality, error rates, patient satisfaction) to identify patterns and propose actionable improvements
Maintain and optimise macros, templates, and workflows to reflect changes in products, policies, or processes, ensuring content remains accurate, compliant, and scalable
Partner with Learning and Knowledge Management to design and deliver training, measuring impact through QA outcomes, knowledge checks, and performance improvements
Collaborate weekly with Senior Patient Support Specialists and Process Specialists to identify process gaps, implement automation, and improve turnaround times
Capture and share patient insights, sentiment, and quality risks with cross‑functional partners to inform operational, product, and care improvements

What we offer

Access learning budgets, conferences, certifications, peer shadowing, and a global knowledge-sharing culture
Enjoy wellness budgets, social clubs, hybrid work arrangement, and initiatives that help you stay balanced and connected
Benefit from comprehensive health coverage (including up to 2 dependents), vacation, sick, and parental leaves, 13th-month pay, statutory benefits, and transport allowance

New

Administrative assistant

We are looking for a detail-oriented Administrative Assistant for a Real Estate ...

Location

United States , New York

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Excellent attention to detail and accuracy in all tasks
Strong computer proficiency and ability to work within systems
Highly organized with strong attention to detail
Ability to complete tasks accurately and efficiently
Quick learner who can pick up processes

Job Responsibility

Process rent payments received through payment processors and PO boxes with precision
Scan and record checks promptly to maintain accurate financial records
Organize and file important documents, including leases and compliance paperwork
Sort, process, and route incoming mail to the appropriate recipients efficiently
Assist with mail distribution, including packages and routine mailroom operations
Provide support for additional administrative tasks as needed to meet team needs

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

New

Food & Beverage Assistant

At Marriott MOXY and JIM’s Kitchen & Bar, we do things a little differently. We’...

Location

United Kingdom , Slough

Salary:

12.30 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

A positive, confident and approachable personality
Strong communication skills
Ability to work well as part of a team
Basic numeracy and literacy skills
A proactive, self-motivated approach
Willingness to support colleagues across departments

Job Responsibility

Food and beverage preparation and mise en place
Assisting with receiving, storage and stock rotation
Maintaining excellent food safety and hygiene standards
Supporting service for breakfast, bar service and functions
Preparing outlets and service areas
Delivering friendly, efficient table and bar service
Recording and replenishing stock
Processing bills in line with hotel procedures
Supporting minibar ordering and storage
Building positive working relationships across departments

What we offer

Service Charge
A fun, inclusive workplace where you can truly be yourself
Career development, training and growth opportunities
Over 220,000 Marriott associates worldwide
Industry-leading hotel discounts across 7,000+ hotels
Ongoing development with Cycas Hospitality

New

Mental Health Technician

Baptist Medical Center is looking to add a Mental Health Technician in our Behav...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

High School Diploma/GED
Less than 1 year Mental Health Technician Experience
Nursing Assistant Experience
Corpsman Experience
Crisis Prevention Certification (CPI) Required
Cardiopulmonary Resuscitation Certification (CPR) Required

Job Responsibility

Provides care to patients in a manner that considers safety, comfort, and therapeutic environment under the direction of the Registered Nurse
Documents observations on assigned patients
Communicates appropriate information regarding patient's condition
Assists with patient education groups, total milieu supervision, assists with admissions/discharges as assigned

What we offer

Up to $250 Sign on Bonus for PRN MHT

Parttime

New

Senior Software Engineer - Frontend

Sigma is transforming how businesses run by delivering a high performance platfo...

Location

United States , New York City

Salary:

170000.00 - 215000.00 USD / Year

Sigma Computing

Expiration Date

Until further notice

Requirements

5+ years industry experience building and maintaining high-quality software
An eye for great design and a passion for building products that provide a great user experience
The ability to make the right trade-offs between functionality and delivery speed that supports delivering value to customers, all the while iterating based on feedback and roadmap priorities
Desire to be a great teammate and have fun at work without compromising ownership towards your work
Strong sense of craftsmanship, and a healthy academic curiosity to solve challenges at sigma
Strong computer science fundamentals

Job Responsibility

Developing elegant and responsive user experience using the latest front-end technologies
Owning substantial pieces of the product, from design to launch
Working with product, UX design, and backend development teams to develop new features and technologies
Leveraging technical expertise in front-end application development in the creation of novel visualizations for structured and unstructured data
Developing new techniques for improving the performance and interactivity of the application
Using modern frontend frameworks like React, GraphQL, TypeScript and Node.js

What we offer

Equity
Generous health benefits
Flexible time off policy
Paid bonding time for all new parents
Traditional and Roth 401k
Commuter and FSA benefits
Lunch Program
Dog friendly office

Fulltime

Inpatient Coding Auditors

Clarus RCM

Location:
Philippines , Pasig, Manila

Category:
IT - Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
December 07, 2025

Looking for more opportunities? Search for other job offers that match your skills and interests.

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Inpatient Coding Auditors

Clarus RCM

Location:Philippines , Pasig, Manila

Category:IT - Administration

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:December 07, 2025

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Inpatient Coding Auditors

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Senior Clinical Coding Auditor & Trainer

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Administrative assistant

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Location:
Philippines , Pasig, Manila

Category:
IT - Administration

Contract Type:
Not provided

Job Posted:
December 07, 2025