Three to five (3-5) years of recent clinical work experience in the medical-surgical area, ICU, telemetry, or emergency department
Active PHRN and USRN license
Solid background in fundamentals of nursing and medical & surgical nursing
Knowledge about diagnoses, signs & symptoms, diagnostic tests and management expected for conditions such as DM, HTN, CHF, CVA, sepsis, encephalopathy, AKI, CKD, etc.
No BPO experience required as long as you meet the above qualifications
Job Description :
Reviews clinical documentation to ensure it accurately reflects the patient's severity of illness, risk of mortality, and complexity of care.
Shares review findings with leadership, CDI team, and other relevant staff; recommends corrective actions when needed.
Performs focused reviews on specific areas like mortality rates, patient safety indicators (PSIs), and other priority projects.
Provides ongoing education and training to the CDI team and related departments about documentation trends and best practices. Also leads the onboarding of new CDI specialists.
Acts as a subject matter expert in CDI, coding rules, and compliance, identifying risks and opportunities for improvement.
Applies coding guidelines and policies to assign accurate DRGs and reviews patient records throughout hospitalization to ensure proper coding.
Collaborates with physicians to clarify unclear or missing documentation through queries or during rounds.
Works with HIMS coders to ensure accurate diagnosis / procedure codes and complete documentation for final DRG assignment and quality outcomes.
Builds and maintains strong relationships with providers to support documentation improvement efforts.
Leads documentation improvement initiatives and participates in related department or organizational projects.
Create a job alert for this search
Onsite • Taguig, Metro Manila, Philippines
Related jobs
Promoted
USRN- with 1 year MCG exp in BPO and 3 years hospital 80k to 90k
GGIS Servicesmanila, National Capital Region, PH
USRN Candidate Profile – For Immediate Consideration Position : USRN – MCG Account Expected Salary : PHP 89,000 to PHP 90,000 Work Location : Onsite – Ortigas Availability : Can start ASAP Shift : ...Show moreLast updated: 30+ days ago
Intercompany InteRegistered Nurse (Optimization and Digitalization) - Urgently Hiring!
HenkelMakati, NCR, Philippines
Fully integrated, highly networked : As a Henkel Intern, you will gain practical experience and exposure to collaborate with industry experts for an international leader that defines the future of t...Show moreLast updated: 18 days ago
Promoted
USRN-Senior Operations Manager 170k to 200k
GGAS Servicesmanila, National Capital Region, PH
Senior Operations Manager – USRN (BPO Healthcare Account) Location : NCR, Philippines (Onsite) Account : UMR Healthcare Compensation : Salary will be based on your most recent paycheck Qualification...Show moreLast updated: 25 days ago
Promoted
US Registered Nurse LTAC & Inpatient Rehabilitation
FGTMakati, National Capital Region, PH
As a USRN – LTAC / Rehab Nurse, you will provide skilled, patient-centered care to medically complex individuals in a Long-Term Acute Care Hospital (LTAC) or Inpatient Rehabilitation Facility (IRF).Y...Show moreLast updated: 30+ days ago
Core-VA SolutionsMakati, National Capital Region, PH
Quick Apply
Core-VA Solutions is a top-tier provider of virtual assistant services, dedicated to assisting businesses and entrepreneurs in optimizing their operations and achieving their objectives.With a team...Show moreLast updated: 30+ days ago
Promoted
USRN - 1 year of exp in Inpatient Concurrent Review using MCG
DirectPath Recruitmentmanila, National Capital Region, PH
HIRING : USRN – MCG Nurse (Temporary Work-from-Home) Salary Range : PHP 80,000 to 95,000 (Depending on experience) We are currently looking for a USRN with solid clinical and utilization review exp...Show moreLast updated: 15 days ago
Promoted
USRN Licensed Team Leader (TL) BPO Healthcare UMR Account
GGAS Servicesmanila, National Capital Region, PH
USRN Licensed Team Leader (TL) – BPO Healthcare UMR Account Location : Onsite – ortiags Salary : Up to ₱90,000 + ₱100,000 Bonus Job Type : Full-Time, Night Shift Job Summary : We are looking for a h...Show moreLast updated: 12 days ago
Intercompany InteRegistered Nurse (Optimization and Digitalization)
HenkelMakati, NCR, Philippines
Fully integrated, highly networked : As a Henkel Intern, you will gain practical experience and exposure to collaborate with industry experts for an international leader that defines the future of t...Show moreLast updated: 18 days ago
Promoted
USRN Trainer -Clinical Healthcare BPO 80k to 85k
DirectPath RecruitmentManila, National Capital Region, PH
USRN Trainer – Clinical Healthcare BPO Location : Ortigas (Onsite) Shift : Night Shift Salary : PHP 80,000–90,000 (depending on experience) Start Date : ASAP Qualifications (Strict Requirement) : Mus...Show moreLast updated: 30+ days ago
Promoted
USRN MCG Inpatient Concurrent Reviewer 95k
Gap Solution Recurrent FirmManila, National Capital Region, PH
Position : USRN – MCG Inpatient Concurrent Reviewer Work Setup : Temporary Work from Home Shift : Night Shift Work Location : Ortigas Qualifications : Valid USRN and PHRN licenses At least 1 year of ...Show moreLast updated: 30+ days ago
Promoted
USRN-MCG position (Temporary Work-from-Home setup).
Gap Solution Recurrent FirmManila, National Capital Region, PH
HIRING : USRN – MCG Nurse (Temporary Work-from-Home) Salary Range : PHP 80,000 to 95,000 (Depending on experience) We are currently looking for a USRN with solid clinical and utilization review exp...Show moreLast updated: 15 days ago
Promoted
Active USRN license -New York State 2 years of hospital / acute Exp
DirectPath RecruitmentManila, National Capital Region, PH
WE’RE HIRING : USRN – Hospital Setting (Onsite, Ortigas) Location : Ortigas, Manila (Onsite) Type : Full-time Shift : 8-hour shift Salary : Up to PHP 60,00 to 65,000 / month Start Date : ASAP Qualificatio...Show moreLast updated: 3 days ago
Promoted
USRN -MCG Nurse (Temporary Work-from-Home)
GGAS Servicesmanila, National Capital Region, PH
USRN – MCG Nurse (Temporary Work-from-Home) Salary Range : PHP 80,000 to 95,000 (Depending on experience) We are currently looking for a USRN with solid clinical and utilization review experience ...Show moreLast updated: 15 days ago
Promoted
USRN License with New York state Only 65k 2 years Acute exp
Gap Solution Recurrent Firmortigas, National Capital Region, PH
WE’RE HIRING : USRN – Hospital Setting (Onsite, Ortigas) Location : Ortigas, Manila (Onsite) Type : Full-time Shift : 8-hour shift Salary : Up to PHP 60,00 to 65,000 / month Start Date : ASAP Qualification...Show moreLast updated: 3 days ago
Promoted
USRN- Inpatient Concurrent Review (MCG) WFH 95k
DirectPath RecruitmentManila, National Capital Region, PH
USRN – Inpatient Concurrent Review (MCG) Location : [Temporary WFH – specify if client allows onsite later] Start Date : August 26 Headcount : 6 Shift : Night Shift Salary : Up to PHP 95,000 (depending...Show moreLast updated: 30+ days ago
Intercompany InteRegistered Nurse (Optimization and Digitalization) - Now Hiring!
HenkelMakati, NCR, Philippines
Fully integrated, highly networked : As a Henkel Intern, you will gain practical experience and exposure to collaborate with industry experts for an international leader that defines the future of t...Show moreLast updated: 18 days ago
DirectPath Recruitmentmanila, National Capital Region, PH
Senior Operations Manager – USRN (BPO Healthcare Account) Location : NCR, Philippines (Onsite) Account : UMR Healthcare Compensation : Salary will be based on your most recent paycheck Qualification...Show moreLast updated: 25 days ago
Promoted
USRN license -New York State 2 years of hospital / acute care exp
GGAS ServicesPasig, National Capital Region, PH
WE’RE HIRING : USRN – Hospital Setting (Onsite, Ortigas) Location : Ortigas, Manila (Onsite) Type : Full-time Shift : 8-hour shift Salary : Up to PHP 60,00 to 65,000 / month Start Date : ASAP Qualificatio...Show moreLast updated: 3 days ago
Promoted
Prior-Authorization Nurses USRN
Visaya KPOPasig, National Capital Region, PH
WE'RE HIRING! – Prior-Authorization Nurse USRN – Pioneer Account Location : Ortigas (Onsite) Company : VISAYA Be part of a pioneer team supporting patient care through prior-authorization and util...Show moreLast updated: 30+ days ago
Promoted
USRN Trainer (NY preferred)- 1 to 2 years exp as a Trainer in BPO
GGAS ServicesManila, National Capital Region, PH
USRN Trainer MANILA • Active USRN License of any state (NY preferred) • Minimum 1-2 years’ experience in a US Healthcare account (Utilization Management Review and Clinical Appeals) • Experience ...Show moreLast updated: 12 days ago