clinical validation Auditor (cva Auditor)Change Healthcare Philippines Inc.

Clinical Validation Auditor (CVA Auditor) » Full-time
» Taguig
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» Posted on November 15, 2020
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Description:
Employer : Change Healthcare Philippines Inc
Website: https://changehealthcare.com
Overview: Change Healthcare is 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 results. We work with payers and providers who want to improve clinical decision-making, simplify billing, collection, payment processes, and enable a better patient practice.
listing title: CVA Auditor or Clinical Validations Auditor
Job location: BGC, Taguig
income: Competitive, Dependent on practice
Shift Schedule: Night Shift (9pm-6am)
Job Summary:
The CVA Auditor or Clinical Validations Auditor has an broad 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 CVA Auditor works closely with DRG analysts and provides clinical insight for DRG validations as necessary as well as performs appeal reviews and responds to provider disputes for Clinical Validation Audits and screens claims data including MS-DRG, AP-DRG, and APR-DRG data.
Requirements:
Appropriate qualifications:
· 3 years of clinical nursing practice in the inpatient setting
· 3 years of inpatient coding practice including documented competency in both ICD-9 and ICD-10; or 3 years of inpatient CDI practice; or equivalent
· An active and unrestricted RN license
· Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) preferred
· Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) preferred
Be part of a pioneer team! What are you waiting for? Get to know more by sending your CV to *protected email*.
income: ?55000 - ?90000
Address: Picadilly Star Building, 4th ave corner 27th Street, Bonifacio Global City, Taguig
Application Process: Apply at Bossjob!
Apply at Bossjob.ph today!
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Change Healthcare Philippines Inc. About Change Healthcare
Change Healthcare is a leading independent healthcare technology company, focused on insights, innovation and accelerating the transformation of the U.S. healthcare system through the power of the Change Healthcare Platform. We partner with customers to better engage members and patients, control costs, enhance revenues, and help with clinical operations and care management. Together, we are accelerating the journey toward improved lives and healthier communities.
Mission: Inspiring a Better Healthcare System
Values: Our culture is guided by our core values that are woven into the fabric of every aspect of our Employer : Pursue Purpose, Champion Innovation, gain Trust, Be Agile, Include All
Our Culture
Our mission is inspiring a better healthcare system. Our core values to Pursue Purpose, Champion Innovation, gain Trust, Be Agile, and Include All drive everything we do. These are the guideposts for our culture and drive our interactions internally as well as with customers.
Development & Growth
Change Healthcare is dedicated to the health and well-being of its employees, and this includes supporting their learning and development. We have cultivated a program for employees that includes tasks and resources that help them identify their goals and build a career development plan.
To help support our values, we established a competency model called leadership abilities DNA. Regardless of your function at Change Healthcare, this defines a specific set of behaviors to support prosperous performance.
Diversity and Inclusion
Our philosophy on diversity and inclusion is simple: We include everyone, celebrate our differences, and understand we are at our best when we draw from the unique strengths, abilities, and practices of a diverse employee population.
Change Healthcare is committed to a culture that fosters acceptance, extends respect to each person, and works to maximize each employee's potential. We encourage and support initiatives that facilitate knowledge and cultivate an atmosphere of kindness.
What Makes Us Different
We're creating a strong and more efficient healthcare system, and we want motivated and passionate people to help us continue to bring new and innovative ideas to life. Information technology takes teams of talented individuals working together to accelerate our journey toward improved lives and healthier communities.
If you're looking to maximize your potential and do what you love with a company that's committed to supporting your future, then you belong at Change Healthcare.
Ready to #MakeaChange?
Worksvianet

Taguig City, Metro Manila
Permanent
Full-time