Medical Coder - Revenue Integrity Audit Job at Clarus RCM (Pasig, Manila)

Coder Lead Facility - Day Surgery/Observation

Acts as a resource and role model to team members. Codes routine to complex proc...

Location

United States

Salary:

30.70 - 46.05 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist (or equivalent experience)
Typically requires 7 years of experience in professional coding that includes experiences in revenue cycle processes and health information workflows or related health care leadership experience
Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics
Knowledgeable in researching coding related topics and issues
Advanced proficiency of ICD, CPT and HCPCS coding guidelines
Advanced knowledge of medical terminology, anatomy and physiology
Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications
Excellent communication (oral and written) and interpersonal skills
Excellent organization, prioritization, and reading comprehension skills

Job Responsibility

Acts as a resource and role model to team members, which includes training/orienting, providing day-to-day work direction, and giving input on performance
Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues
Codes routine to complex procedures and diagnoses including hospital-based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers
Performs informal quality reviews on a monthly basis providing coding education to coding team members for accuracy
May assist with provider education/orientation regarding policy requirements of federal and state government agencies
Abstracts documentation to choose correct ICD, CPT, HCPCS codes according to standard coding guidelines, procedures and protocols
Detects, reports and acts as a resource to assist in resolving billing compliance issues
Serves as liaison between business office, medical records, patient care and/or coding department by providing feedback to caregivers and leaders
Responsible for processing denial management claims and addressing patient concerns
Serves as a resource to caregivers regarding pre-authorizations, referrals, and estimating charges prior to a patient's visit

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Hcc coding auditor senior - hp network documentation integration

Coding Auditor Senior will perform code audits and abstraction using the Officia...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma required or equivalent
Excellent written and verbal communication skills
Ability to drive within assigned areas or overnight travel for internal or external meetings
Capacity to attend remote provider meetings day/evening/weekends as needed within assigned regions as defined by manager/leadership
At least three (3) years of hospital inpatient/outpatient or medical office coding experience, preferably three (3) years risk adjustment coding experience
Prior experience teaching/training others on correct coding guidelines and have the ability to present to large groups of Physicians/Providers
Coding certification required through AHIMA or AAPC (at least two of the below): Certified Professional Coder (CPC) required
Certified Risk Adjustment Coder (CRC) preferred
Certified Coding Specialist for Providers (CCS-P) preferred
Registered Health Information Management Technician (RHIT) preferred

Job Responsibility

Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment
Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS (HCC) Risk Adjustment guidelines
Perform coding quality audits within multiple EMRs, databases, and/or vendor platforms to support both employed and independent clinic risk adjustment strategies
Identifies revenue, reimbursement, and provider educational opportunities while remaining compliant with state and federal regulations
Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
Complies with all aspects of coding, abides by all ethical standards, and adheres to official coding guidelines
Conduct provider education and training regarding risk adjustment to help to ensure accurate CMS payment and to improve quality of care. This includes training venues such as provider offices, hospitals, webinars, conference calls, email correspondence, etc.
Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually
Ensures that rendered physician services for claim submission and any subsequent payments are as accurate as possible while complying with regulatory guidelines including CMS, DHS, and OIG
Assist coding leadership by making recommendations for process improvements to further enhance coding quality goals and outcomes

Fulltime

New

Senior Manager Events and Catering

Assists the Assistant Director of Catering by providing support to the operation...

Location

United States

Salary:

85000.00 - 113000.00 USD / Year

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

High school diploma or GED
4 years’ experience in the event management, food and beverage, or related professional area
OR Bachelor’s degree from an accredited university in Hotel and Restaurant Management, Hospitality, Business Administration, or related major
2 years’ experience in the event management, food and beverage, or related professional area

Job Responsibility

Projects supply needs for the department
Applies knowledge of all laws as they relate to an event
Understands the impact of banquet operations on the overall success of a conference event and manages activities to maximize customer satisfaction
Adheres to and reinforces all standards, policies, and procedures
Maintains established sanitation levels
Manages departmental inventories and maintains equipment
Schedules banquet service staff to forecast and service standards, while maximizing profits
Assists team in developing lasting relationships with groups to retain business and increase growth
Manages department controllable expenses to achieve or exceed budgeted goals
Verifies that all banquet event orders (BEO’s) are developed and distributed according to established guidelines

What we offer

Relocation Assistance Available

Fulltime

New

Software Engineer

We are looking for a skilled Software Engineer to join our dynamic team in New Y...

Location

United States , New York

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Computer Science or a related field from a reputable institution
At least 3 years of experience as a software engineer, with a proven track record in full-stack development
Proficiency in TypeScript, React.js, and Node.js
Hands-on experience with mobile development, particularly using React Native
Ability to design and develop performance-sensitive and low-latency systems
Strong problem-solving skills and attention to detail
Familiarity with startup environments and an entrepreneurial mindset

Job Responsibility

Develop and maintain full-stack applications using TypeScript, React, and React Native
Design, implement, and optimize low-latency systems and performance-sensitive software
Collaborate with cross-functional teams to deliver high-quality solutions that meet user needs
Contribute to the development of mobile applications with expertise in React Native
Write clean, efficient, and scalable code to ensure optimal application functionality
Debug and troubleshoot technical issues to maintain system reliability
Participate in code reviews and provide constructive feedback to team members
Stay up-to-date with emerging technologies and incorporate best practices into development processes
Work in an entrepreneurial environment, taking ownership of projects and driving them to completion
Engage with product teams to understand user requirements and deliver impactful solutions

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

New

Ct technologist

PRN CT Technologist position at Atrium Health Navicent Peach. Need PRN CT techno...

Location

United States , Byron

Salary:

33.05 - 49.60 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Graduate of an accredited two-year AMA program in Radiologic or Nuclear Medicine Technology required
ARRT certification in Radiology or NMTCB for Nuclear Medicine and advanced registry from the ARRT in CT scanning within one year of hire required
BLS required

Job Responsibility

Examines requests and verifies orders on each assigned patient
Properly identify and assist patients while offering a brief explanation of the procedures
Interviews patients for a complete medical history
Assumes responsibility for the exam from beginning of exam until completion of dictated results
Prepares and administers IV contrast according to departmental protocols
Evaluates technical quality of images and consults with a Radiologist if needed
Performs basic patient care functions
Performs CT scanning and assists Radiologist/PA during invasive procedures
Is authorized to obtain medication or contrast material as directed for administration by a licensed practitioner
Practices principle of radiation safety for self, employees, patients and family members

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Parttime

New

Night shift Production Technician

Manufacturing life saving products such as nutrition, chemotherapy and antibioti...

Location

United Kingdom , Thetford

Salary:

25600.00 GBP / Year

Baxter

Expiration Date

Until further notice

Requirements

No experience required
Attentive
Strong attention to detail
Positive attitude
Excellent communication skills

Job Responsibility

Manufacture life saving products in accordance to approved Standard Operating Procedures (SOP’s)
Perform routine quality checks on the product as part of the manufacturing process
Correctly record detailed data on batch paperwork and quality documents following Good Documentation Practices
Perform and record all cleaning for the equipment and areas of work as and when required as defined in the relevant SOP’s
Notify Team Leader/Supervisor/Manager/Quality assurance of any deviations from the process and take part in correcting mistakes under guidance
Perform all tasks requested by Team Leader

What we offer

Weekly shift allowance of £85.38
First class training
Opportunity to develop and grow via ACE development process
New challenges every day with support

Fulltime

New

Architecture Governance Lead Analyst

The Engineering & Architecture Governance Analyst is responsible for leading a v...

Location

United Kingdom , Belfast

Salary:

Not provided

Citi

Expiration Date

Until further notice

Requirements

6-10 years of relevant experience in an Architect or Engineering role, with some experience in governance and controls
Experience working in Financial Services or a large complex and/or global environment
Proven ability to develop efficient and effective processes
Experience with IT governance processes and controls
Consistently demonstrates clear and concise written and verbal communication
Comprehensive knowledge of design metrics, analytics tools, benchmarking activities and related reporting to identify best practices
Demonstrated analytic/diagnostic skills
Familiarity with enterprise architecture principles and software engineering concepts
Ability to facilitate and drive cross functional forums and working groups towards common goals
Ability to monitor effectiveness of processes and report to all levels of management

Job Responsibility

Serves as a technology subject matter expert for internal and external stakeholders and provide direction for governance areas concerning application portfolio management (APM), application tech stack, and technology product version debt
Develops key control requirements to feed into automation and other processes
Define and maintain processes and controls that address key governance objectives, including regulatory requirements
Define and maintain methodologies to categorize application portfolio, and provide insights against the portfolio
Develops automated controls that ensure that all integration of functions meet business goals and architecture standards
enforce architecture standards via automated controls and processes
Impacts the engineering & architecture function by influencing decisions through advice, counsel or facilitating services
Owns and oversees governance areas concerning technical debt, including End-of-vendor-support, technology product & version standards, and repave
Conducts and facilitates key forums and working groups to drive governance initiatives
Appropriately assesses risk when business decisions are made, demonstrating particular consideration for the firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying sound ethical judgment regarding personal behavior, conduct and business practices, and escalating, managing and reporting control issues with transparency

What we offer

Generous holiday allowance starting at 27 days plus bank holidays
increasing with tenure
A discretional annual performance related bonus
Private medical insurance packages to suit your personal circumstances
Employee Assistance Program
Pension Plan
Paid Parental Leave
Special discounts for employees, family, and friends
Access to an array of learning and development resources

Fulltime

New

Finance Manager

Finance Managers located in Frisco, Texas will deliver reliable, scalable, and s...

Location

United States , Frisco

Salary:

141773.00 - 155000.00 USD / Year

T-Mobile

Expiration Date

Until further notice

Requirements

Master’s degree in Computer Science, Computer Engineering, or related, and five years of relevant work experience
Bachelor’s degree in Computer Science, Computer Engineering, or related, and seven years of relevant work experience
Experience in designing and developing enterprise planning applications using IBM Planning Analytics (TM1 10.x), including Cognos Command Center, Cubewise Pulse, Arc, and Atmosphere
Experience building and maintaining planning solutions in Oracle Enterprise Performance Management (Hyperion) suite, including EPBCS, EPRCS, and EDMCS
Experience in designing and implementing both Top-down and Bottom-up financial forecasting models within Oracle EPBCS and EDMCS
Experience in AI data driven predictive analytics using IBM Planning Analytics for Workspace (PAW)
Skilled in designing and developing ETL pipelines using Snowflake, Oracle, and Azure Databricks
Strong background in cloud-native architecture and deployment pipelines with CI/CD tools
Experience in scripting and automation using Python and PowerShell
Expertise in developing interactive dashboards and enterprise reports using Power BI, Tableau, and IBM Cognos BI Suite

Job Responsibility

Collaborate cross-functionally with Finance teams to ensure cohesive solution architecture and seamless integration across planning and reporting platforms
Consolidate and report critical financial and operational information, support internal Financial Planning and Analysis teams, and provide insights to the highest levels of Executive Leadership Team
Design and implement scalable ETL pipelines to support data integration workflows for IBM Planning Analytics (TM1) and Oracle Cloud EPM
Develop advanced driver-based models and scenario planning applications within Oracle Cloud EPM to enhance strategic forecasting and operational agility
Develop and deploy AI/ML solutions for predictive analytics, including forecasting, churn modeling, customer segmentation, and network optimization
Leverage conversational AI to elevate customer engagement and operational throughput
Challenge the status quo and develop solutions that unlock automation and create a better path forward for users and key customers
Support project definition and execution, contributing to scope estimation, resource planning, and implementation timelines in alignment with business goals
Mentor team members and guide stakeholders in optimal tool utilization and best practices
Adapt to evolving business needs, taking ownership of strategic and ad hoc projects as directed by leadership

What we offer

Competitive base salary and compensation package
Annual stock grant
Employee stock purchase plan
401(k)
Access to free, year-round money coaches
Annual bonus or periodic sales incentive/bonus
Medical, dental and vision insurance
Flexible spending account
Paid time off
Up to 12 paid holidays

Fulltime

Medical Coder - Revenue Integrity Audit

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

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