Job Description:
Clinical Analysts to perform DRG Audit Services, which shall include documentation verification, coding validation and clinical validation of billed services
Clinical Analysts will review all claims made available in the audit system and identify those claims that are incorrect or are inconsistent with the training materials, standards and policies and procedures provided
Clinical Analysts shall provide a payment recommendation based on that review through the audit system, which shall include documentation of the clinical Analyst's findings, including the rationale behind the findings, or conclusion of no finding, or a problem with the audit which requires escalation
Qualifications:
Must be a Registered Nurse (US RN or PH RN)
Must have inpatient experience and active coding license
Clinical experience an advantage but not required
Amenable to working nights and in McKinley
About Us: UST Global is a technology partner dedicated to transforming businesses, communities, and the people who live within them. Operating in 25 countries, we deliver future-ready digital transformation strategy services, products, and platforms that create new possibilities and help you imagine what's next in financial services, healthcare, retail, manufacturing, semiconductor, and communications. But what matters most is the deep partnership we forge with you to solve the unique challenges you face today, while preparing you for tomorrow.
That's us together. That's UST Global.
UST Global
Clinical Analysts to perform DRG Audit Services, which shall include documentation verification, coding validation and clinical validation of billed services
Clinical Analysts will review all claims made available in the audit system and identify those claims that are incorrect or are inconsistent with the training materials, standards and policies and procedures provided
Clinical Analysts shall provide a payment recommendation based on that review through the audit system, which shall include documentation of the clinical Analyst's findings, including the rationale behind the findings, or conclusion of no finding, or a problem with the audit which requires escalation
Qualifications:
Must be a Registered Nurse (US RN or PH RN)
Must have inpatient experience and active coding license
Clinical experience an advantage but not required
Amenable to working nights and in McKinley
About Us: UST Global is a technology partner dedicated to transforming businesses, communities, and the people who live within them. Operating in 25 countries, we deliver future-ready digital transformation strategy services, products, and platforms that create new possibilities and help you imagine what's next in financial services, healthcare, retail, manufacturing, semiconductor, and communications. But what matters most is the deep partnership we forge with you to solve the unique challenges you face today, while preparing you for tomorrow.
That's us together. That's UST Global.
UST Global
Other Info
Taguig City, Metro Manila
Permanent
Full-time
Permanent
Full-time
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UST Global
About the company
Position Associate iii - bpm recruited by the company UST Global at MetroManila, Manila, Taguig, Joboko automatically collects the salary of , finds more jobs on Associate III - BPM or UST Global company in the links above
About the company