Client Partner for Clinical Review Job at Access Healthcare LLC (Taguig City)

Client Partner – CDI Specialist

Looking for a new challenge in your coding career? Join our Manila office as a q...

Location

Philippines , Manila

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Working knowledge of medical business office procedures and basic accounting
Fluent in English speaking and possess basic computer knowledge
Available to work in night shifts
Graduate with bachelor’s degree in nursing
2 to 3 years of work experience in nursing
Certification in Clinical Documentation Improvement (CDI) Coding

Job Responsibility

Study inpatient records and determine their authenticity
Review patients’ documentation to determine diagnosis, co-morbidities, and complications
Verify that each code assigned is accurate and correlates to the condition and diagnosis provided in the source document
Serve as a resource for coding related queries after verifying authenticity of inquirer
Ascertain that quality and integrity of coding including accurate determination of principle diagnosis, secondary diagnosis, and PCS codes
Responsible for reviewing patient medical records in the inpatient setting to capture accurate illustration of the severity of illness and facilitate proper coding
Facilitate appropriate coding that reflects the severity of the patient’s illness along with expected risk of mortality and complexity of care required
Documentation of discharge diagnoses and co-morbidities is a comprehensive reflection of the patient’s clinical status and care
Use advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps
Recognize opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding

What we offer

We will provide free training on the client’s medical billing software to perform this role

Fulltime

Client Partner

Location

India , Noida

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Minimum 1 to 4 years of experience in IPDRG medical coding -US Healthcare
Any Graduate
associate’s degree in health information management, Medical Coding, or a related field preferred
Specialization: Inpatient DRG
Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required.

Job Responsibility

Assign DRG Codes: Accurately assign DRG codes to inpatient records using ICD-10- CM/PCS coding systems based on clinical documentation and physician notes. Ensure codes reflect the correct diagnosis, procedures, and the overall complexity of care.
Clinical Documentation Review: Review and analyze medical records to verify diagnoses, procedures, and treatments. Work with physicians and healthcare providers to clarify and improve clinical documentation when needed for proper coding.
DRG Assignment: Utilize the DRG methodology to ensure accurate and consistent DRG assignment based on the severity of illness (SOI) and risk of mortality (ROM), among other factors. Apply coding conventions and guidelines as per CMS (Centers for Medicare & Medicaid Services) and payer requirements.
Continuous Education: Keep up to date with coding guidelines, coding technology, and industry changes related to DRGs, including changes in ICD-10-CM/PCS, federal regulations, and insurance payer policies.
Billing Support: Work closely with the billing department to resolve coding issues and ensure that all claims are processed correctly and promptly for reimbursement. Ensure timely submission of all inpatient claims for accurate payment processing

Client Partner - Medical Coding - Inpatient Coding - IP/DRG

Start your career as a Client Partner for Inpatient Medical Coding - IP /DRG wit...

Location

India , Noida

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Graduates in life sciences with 1 - 4 years experience in Medical Coding
Candidates holding CCS/CIC with hospital coding experience are preferable
Good knowledge of Medical Coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles
Maintains a working knowledge of CPT-4, ICD-10-CM, and ICD-10-PCS coding principles, governmental regulations, UHDDS guidelines, AHA coding clinic updates, and third-party requirements regarding coding and documentation guidelines
Knowledge of Physician query process and ability to write physician queries in compliance with OIG and UHDDS regulations
Knowledge of MS-DRG, MDC, AP-DRG, APR-DRG with hands-on experience in handling MS-DRG
Knowledge of CC and MCC when used as a secondary diagnosis
Understanding and exposure to Clinical Documentation Improvement (CDI) program to work in tandem with MS-DRG
Hands-on experience in any Encoder tools specific to Hospital coding, such as 3M, Trucode, etc., is preferred
Maintains a high level of productivity and quality

Job Responsibility

Reviewing Inpatient and observation medical records, determining and assigning accurate diagnosis (ICD-10-CM) codes and Procedure codes (ICD-10-PCS and CPT) codes with appropriate modifiers in addition to reporting any deviations promptly
The coders will focus on undergoing certifications sponsored by AAPC and AHIMA as they mature with the process

What we offer

Access health care has now partnered with AAPC to handhold in-house certification training for coders and sponsor examinations

Fulltime

Senior Physician, Patient Safety

Join our dynamic Patient Safety team as a Senior Physician where you'll leverage...

Location

United States; Canada , Remote; Alberta

Salary:

Not provided

Parexel

Expiration Date

Until further notice

Requirements

Experience in clinical medicine (general or specialist qualifications) which is expected to be kept up to date
Good knowledge of drug safety and the drug development process
Good knowledge/understanding of medical terminology
Relevant experience in pharmacovigilance/ Drug Safety/ Clinical Practice
3 - 5 years previous experience in pharmacovigilance and/or medical monitoring is required
US Board Certification/board eligibility or regional equivalent for Canada
Bachelor of Medicine, Bachelor of Surgery (MBBS) / Doctor of Medicine (MD)/ Medically qualified from an acknowledged Medical School
Completion of at least basic training in clinical medicine (residency, internship etc.)
Demonstrated success in technical proficiency and scientific creativity
Good presentation and verbal/written communication skills

Job Responsibility

Maintaining a good working knowledge of the Adverse event/Safety profile of assigned products, labeling documents, data handling conventions, client’s guidelines and procedures, and global drug safety regulations and guidelines
Maintaining an awareness of global regulatory requirements, reporting obligations and organizing workload to ensure compliance with internal and regulatory timelines for adverse event reporting
Performing medical review of cases not limited to (including complex and challenging cases requiring expert judgement)), clinical trial, and literature cases including combination products {drug-device}) according to client/Parexel Standard Operating Procedures (SOPs
as applicable) and liaising with the client, as require
Writing Pharmacovigilance/Marketing Authorization Holder (MAH) comment and assessing company causality
Review appropriateness of medical content in narrative for medical coherence
Assessing seriousness, listedness / expectedness of reported events
Providing medical inputs to case processing team
Raising appropriate follow-up queries for relevant information from the reporter/HCP (Health Care Professional)
Review and verify appropriate selection of adverse events from source documents, assign appropriate Medical Dictionary for Regulatory Activities (MedDRA) code, review narrative

What we offer

Flexible approach to work that meets your personal needs
Work from home
Benefits vary by country
Investment in your professional and personal development

Lead Therapist

The Lead Therapist is responsible for supervising clinical staff, signing notes,...

Location

United States

Salary:

70000.00 - 90000.00 USD / Year

Ellie Mental Health

Expiration Date

Until further notice

Requirements

Independently licensed with a WI-issued clinical practice license (LCSW, LMFT, LPC, etc)
Wisconsin Supervision Certificate
Strong working knowledge of state requirements regulating mental health practice
Proficient with Microsoft 365 applications
Adept at learning and navigating Electronic Health Record systems

Job Responsibility

Supervising clinical staff
Signing notes
Maintaining own caseload of clients
Leading group supervision and staff meetings each week
Participate in the weekly Clinic Director meeting
Provide 1:1 consultation with therapy staff to review productivity, caseload, and clinical documentation
Provide clinical supervision to clinicians with trainee licenses
Monitor Clinic capacity and practice patterns by assisting in creation of Clinic Heath Card
Support clinic staff development to ensure accurate use of Valant
Partner with CD to support administrative changes as needed

What we offer

401(k) matching
Competitive salary
Dental insurance
Flexible schedule
Health insurance
Opportunity for advancement
Paid time off
Vision insurance
Supportive staff, CEs, and advancement opportunities
Low client minimums

Fulltime

Aesthetic Registered Nurse

The Registered Nurse (RN) is responsible for delivering safe and effective treat...

Location

United States , Brooklyn, New York

Salary:

30.00 USD / Hour

Skin Laundry

Expiration Date

Until further notice

Requirements

Active and unrestricted Registered Nurse (RN) license in the state of employment
Current Basic Life Support (BLS) certification
Familiarity with electronic medical records (EMR) systems
Ability to commit to a schedule made 60 days in advance
Must be available and able to work weekends (Saturday and Sunday) regularly
Must have a minimum of 3 days available to work per week
One of those days must be a Friday or Monday
Must be available to work during Clinic Operating Hours
Must be able to work a minimum of 1 day per week
Ability to reliably commute to home clinic location & periodically travel to other clinics to provide coverage as needed

Job Responsibility

Delivering safe and effective treatments to clients while providing an exceptional customer experience
Performing laser-based or aesthetic procedures
Educating clients on skincare and post-treatment care
Maintaining compliance with medical and organizational standards
Collaborating with the clinic team to ensure a welcoming and professional environment
Upholding the highest standards of safety and care
Performing non-invasive treatments, including laser therapies, under the direction of medical protocols and company standards
Assessing client eligibility for treatments by reviewing medical history, obtaining informed consent, and addressing client questions or concerns
Administering treatments with precision and care, ensuring client comfort and satisfaction throughout the procedure
Maintaining detailed and accurate client treatment records in compliance with legal and organizational requirements

What we offer

Skin Laundry Employee Treatment & Product Discount Program
Commitment to employee growth and development
Work/Life Balance with extensive Holiday Policy
Support for mental health in and out of work
Leadership focused on support and uplift
Speak Up Culture where feedback is vital
Inclusive and respectful work environment free from bullying, gossip, racism, or discrimination

Parttime

DRG Clinical Dispute Reviewer

At Zelis, the DRG Clinical Dispute Reviewer role is responsible for the resoluti...

Location

United States , St. Petersburg; Plano; Boston; St. Louis; Atlanta

Salary:

95000.00 - 127000.00 USD / Year

Zelis

Expiration Date

Until further notice

Requirements

5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims
Current, active Inpatient Coding Certification required (ie. CCS, CIC,RHIA, RHIT, CPC or equivalent credentialing)
Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers
Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs
Understanding of hospital coding and billing rules
Clinical skills to evaluate appropriate Medical Record Coding
Experience performing regulatory research from multiple sources, formulating an opinion, and presenting findings in an organized, concise manner
Background and/or understanding of the healthcare industry
Knowledge of National Medicare and Medicaid regulations
Knowledge of payer reimbursement policies

Job Responsibility

Review provider disputes for DRG Coding and Clinical Validation (MS and APR)
Review and submit explanation of dispute rationale back to providers based on dispute findings within the designated timeframe to ensure client turnaround times are met
Accountable for daily management of claim dispute volume, adhering to client turnaround time, and department Standard Operating Procedures
Serve as subject matter expert for the Expert Claim Review Team on day-to-day activities including troubleshooting and review for data accuracy
Serve as a subject matter expert for content and bill reviews and provide support where needed for inquiries and research requests
Create and present education to Expert Claim Review Teams and other departments dispute findings
Research and analysis of content for DRG reviews
Use of strong coding and industry knowledge to create and maintain claim review content, including but not limited to DRG Reviewer Rationales, DRG Clinical Validation Policies and Dispute Rationales
Perform regulatory research from multiple sources to keep abreast of compliance enhancements and additional bill review opportunities
Support for client facing teams as needed relating to client inquiries related to provider disputes

What we offer

401k plan with employer match
flexible paid time off
holidays
parental leaves
life and disability insurance
health benefits including medical, dental, vision, and prescription drug coverage

Fulltime

Reporting Clinical Laboratory Scientist

The Prenatal Reporting Clinical Laboratory Scientist (RCLS) is responsible for p...

Location

United States , Union City

Salary:

126721.00 - 172625.00 USD / Year

BillionToOne

Expiration Date

Until further notice

Requirements

Must possess an active and valid CLS or Clinical Genetic Molecular Biologist Scientist (CGMBS) license issued by the state of California
Must fulfill requirements stated in 42 CFR 493.1489 OR 493.1491
Must fulfill requirements stated in the College of American Pathologists Molecular Pathology Checklist
Working knowledge of local, state, and federal laboratory regulations required
Bachelor’s degree or equivalent in Biomedical Laboratory Sciences, Clinical Science or related field required
At least one year of Clinical Laboratory experience or equivalent high complexity and volume laboratory experience required
Experience with molecular biology techniques required
Experience with Sanger sequencing analysis, trinucleotide repeat analysis, MLPA analysis, or NGS QC preferred
Laboratory experience in molecular biology within the last year preferred
Strong computer and automation skills are preferred

Job Responsibility

Clinical Data Review, Interpretation, and Reporting: Review and interpret clinical genomics data, and sign out clinical laboratory reports, ensuring accuracy and reliability of clinical reporting
Quality Assurance: Partner with Quality Management team on QC and QA programs to maintain the highest standards in laboratory testing and reporting, ensuring adherence to CLIA, CAP, and other regulatory guidelines
Process Improvement: Identify opportunities for process optimization, efficiency enhancement, and cost-effective laboratory practices
Collaborate with Research & Development, bioinformatics and Genomic Technology team to develop, validate, and implement of new laboratory tests, methodologies, and data management and reporting systems
Team Leadership: Provide leadership and guidance to laboratory staff, including scientists, technicians, and support personnel
Collaboration: Collaborate with cross-functional teams, including Lab Operation, Customer Service, Product, Commercial, to support company goals
Analysis and Reporting (70%): Execute the bioinformatics pipelines that process and analyze raw data from samples
Manage daily test processing needs with the highest emphasis on quality
Present sample results to additional RCLSs, Laboratory Director, and/or other clinical personnel for subsequent clinical reporting
Reviewing and releasing sample reports under the purview of the Laboratory Director

What we offer

Multiple medical benefit options
employee premiums paid 100% of select plans, dependents covered up to 80%
Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%)
Supplemental fertility benefits coverage
Retirement savings program including a 4% Company match
Increase paid time off with increased tenure
Latest and greatest hardware (laptop, lab equipment, facilities)
Free daily on-site lunches provided from top eateries
A variety of perks on campus (state of the art gym, restaurant)
Free on-site EV charging (compatible with all EVs, including Tesla)

Fulltime

Client Partner for Clinical Review

Access Healthcare LLC

Location:
Philippines , Taguig City

Category:
IT - Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
December 14, 2025

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Client Partner for Clinical Review

Client Partner – CDI Specialist

Client Partner

Client Partner - Medical Coding - Inpatient Coding - IP/DRG

Senior Physician, Patient Safety

Lead Therapist

Aesthetic Registered Nurse

DRG Clinical Dispute Reviewer

Reporting Clinical Laboratory Scientist

Client Partner for Clinical Review

Access Healthcare LLC

Location:Philippines , Taguig City

Category:IT - Administration

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:December 14, 2025

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Client Partner for Clinical Review

Client Partner – CDI Specialist

Client Partner

Client Partner - Medical Coding - Inpatient Coding - IP/DRG

Senior Physician, Patient Safety

Lead Therapist

Aesthetic Registered Nurse

DRG Clinical Dispute Reviewer

Reporting Clinical Laboratory Scientist

Location:
Philippines , Taguig City

Category:
IT - Administration

Contract Type:
Not provided

Job Posted:
December 14, 2025