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USRN Trainer (Manila) | Onsite

USRN Trainer (Manila) | Onsite

TASQ Staffing SolutionsPasig, Metro Manila, Philippines
30+ days ago
Job type
  • Quick Apply
Job description

Work Setu p / Shift :  WFO / Night shift

Start Date : ASAP

Qualifications :

  • Bachelor's Degree in Nursing (BSN)
  • Active USRN License of any state (NY preferred)
  • Atleast 1-2 years as a Process Trainer
  • Minimum 1-2 years experience in a US Healthcare account (Utilization Management Review and Clinical Appeals)
  • Experience with utilization of Interqual / MCG Guidelines
  • Exposure to Inpatient / Concurrent reviews
  • Must be amenable to report in Manila

Responsibilities :

1.  Clinical Review & Auditing :

  • Review patient medical records to ensure the accuracy and completeness of documentation.
  • Evaluate and verify the appropriateness of medical codes based on patient diagnoses and procedures.
  • Assist in medical coding audits and provide recommendations for improvements.
  • Collaborate with other healthcare professionals to resolve discrepancies in patient records.

    • 2. Medical Coding Support :

  • Work closely with medical coders to ensure compliance with U.S. healthcare regulations and standards.
  • Provide clinical expertise in the identification of proper coding for procedures and diagnoses.
  • Maintain knowledge of the latest updates to ICD-10, CPT, and other coding guidelines.

    • 3. Quality Assurance & Compliance :

  • Ensure that all healthcare documentation aligns with U.S. healthcare laws, policies, and regulations (HIPAA, CMS).
  • Identify trends or recurring issues related to clinical documentation and coding, and escalate as necessary.
  • Participate in training programs to stay updated on U.S. healthcare regulations and clinical practices.
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    Usrn Trainer • Pasig, Metro Manila, Philippines