Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards Requirements: QA experience... in claims 2 to 5 years of medical claims processing experience Knowledge in US healthcare practice, medical coding (ICD...
1 Opening Taguig Role description SUMMARY Perform production and quality audits to ensure operations are effective, consistent and in compliance with business rules and CMS processing standards. Primary focus includes but is not limited to ...
processing Experience as a QA in claims processing Experience with medical coding to include diagnosis coding and terminology... is an advantage. Knowledge in US healthcare practice, medical coding (ICD-10, CPT4, DRG, HCPCS), clinical documentation improvement...
, health care policy, statistical modeling, business decisions, analysis, or business management. Experience in healthcare...
training program for all non-clinical UM staff members. Participate & lead in the development, implementation, and updating... as needed Oversee and mentor new employees during the initial training program Work closely with the leadership team, QA, and subject...
program for all non-clinical A&G staff members Participate & lead in the development, implementation, and updating of training... and mentor new employees during the initial training program Work closely with the leadership team, QA, and subject matter...
for training A&G clinical staff on processes, policies, and systems Participate & lead in the development, implementation..., QA, and subject matter experts external and internal to assess the learning environment and determine relevant resources...