Inpatient Coding Auditors Job at Clarus RCM (Pasig, Manila)

Inpatient DRG Nursing Auditor

Join our team in Manila as Inpatient DRG Nursing Auditor. If you’re a registered...

Location

Philippines , Taguig City

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Good Comprehension skills
Strong attention to detail and communication skills
Curious and willing to ask relevant questions
Ability to understand client guidelines related to insurance advantage claims
Must be Philippine Registered Nurse with Active license
Must have an experience in clinical and audit in IP DRG

Job Responsibility

Conduct initial audit reviews to validate billed diagnoses and DRG code are supported by medical records
Record audit results and document finding notes based on policies using professional clinical resources
Perform provider appeals reviews and render decision to either uphold or overturn original finding
Review questionable encoder results, complex cases, and appeal reviews to facilitate referrals to clinical department as needed
Propose new audit concepts supported by your research and analysis
Define new audit concept criteria and test and validate new concepts developed by analytics team
Escalate facility issues per client guidance

New

Senior Clinical Coding Auditor & Trainer

The Senior Clinical Coding Auditor & Trainer is responsible for developing, cond...

Location

United States

Salary:

Not provided

Bright Vision Technologies

Expiration Date

Until further notice

Requirements

Inpatient coding experience with active CPC, CIC, or CCS certification
Minimum 1 year of clinical experience in a hospital setting
Active nursing license (required)
Strong written and verbal English communication skills
Bachelor’s degree in Nursing or a related clinical field, or equivalent experience
4+ years of experience in nursing, training, or auditing within a managed care or healthcare setting
Prior lead or supervisory experience preferred
Current state Registered Nurse (RN) license
Valid driver’s license may be required for certain positions

Job Responsibility

Develop and maintain complex inpatient coding audit processes and tools
Conduct inpatient coding audits and review medical necessity guidelines
Design and deliver clinical coding education for new and existing staff
Identify training needs and develop appropriate learning materials and aids
Audit staff performance, identify errors, and collaborate on corrective actions
Present audit findings and improvement recommendations to leadership
Evaluate training effectiveness and recommend enhancements
Research and recommend internal and external training programs
Maintain detailed records of training activities and employee progress
Assist with policy, procedure, and workflow revisions related to inpatient coding

Fulltime

Medical Director of Revenue Integrity

The Physician Advisor is a key member of the healthcare organization’s leadershi...

Location

United States , Cheyenne

Salary:

Not provided

Cheyenne Regional Medical Center

Expiration Date

Until further notice

Requirements

Hold and maintain or able to obtain an unrestricted medical license in the state of Wyoming
Possess or acquires a solid foundation, knowledge, and/or experience in the areas of utilization management, quality improvement, and patient safety
Familiarity with InterQual and MCG is preferred
Strong understanding of Medicare Two Midnight Rules
Member of the American College of Physician Advisors (ACPA)
Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) or ACPA is required within 6 months of hire
Ability to build rapport with medical staff and hospital leadership to obtain the buy-in and collaboration necessary to achieve desired outcomes
Prefer Internal Medicine specialist with a background in Hospital Medicine
Maintain active medical practice in their specialty (Can accommodate clinical time up to 0.15 FTE in the specialty (depending on availability))
Demonstrates behavior that supports the organization’s mission

Job Responsibility

Provide functional leadership for the revenue integrity team Including CDI, Coding and Utilization Review
Responsible for oversight revenue integrity optimization
Lead value-based care initiatives for the organization
Chairs the Utilization Management Team
Review medical records of patients identified by case managers or as requested by the healthcare team including physicians to perform quality and utilization oversight
Perform medical necessity reviews including initial level of care, secondary reviews, and continued stay reviews
Conduct Peer to Peer discussion with Payor Medical Directors when requested
Provide regular feedback to physicians and all other stake holders regarding level of care, length of stay, and potential quality issues
Provide necessary clinical education to UR Case Managers regarding clinical criteria and appropriate use of screening tools
Educates individual hospital staff physicians about ICD-10 and DRG coding guidelines (e.g., co-morbid conditions, outpatient vs. inpatient) and clinical terminology to improve their understanding of severity, acuity, risk of mortality, and DRG assignments on their individual patient records

What we offer

403(b) with 4% employer match
ANCC Magnet Hospital
$10,000 relocation bonus
$3,500 in CMEs
216 hours of PTO
Robust Benefits Package

New

Tax Administrative Assistant

Are you detail-oriented and eager to support a dynamic tax department during a b...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Strong organizational skills and attention to detail
Excellent communication and interpersonal abilities
Proficiency in Microsoft Office Suite
Prior administrative or tax office experience preferred but not required

Job Responsibility

Provide administrative support to the tax department, including document preparation, data entry, and filing
Assist with the coordination and tracking of tax documents and deadlines
Communicate with internal staff and external clients to gather or provide information as needed
Schedule meetings and maintain calendars for tax team members
Prepare reports and ensure the accuracy of all records in accordance with company policies

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

New

Deputy Materials Manager

Ryanair, Europe’s Largest Airline Group, is currently hiring for a Deputy Materi...

Location

Ireland , Dublin

Salary:

Not provided

Ryanair - Europe's Favourite Airline

Expiration Date

February 18, 2026

Requirements

A relevant qualification at degree level or equivalent
Experience in an aviation materials, repair management, or supply-chain-related role
Strong organisational skills with the ability to manage multiple priorities in a fast paced, high pressure environment
Excellent numerical ability with exposure to cost control or contract oversight
Knowledge of aviation regulatory requirements (EASA/CAA/FAA) preferred
Strong computer literacy with experience using ERP/MRO systems
Ability to work on own initiative with mature judgement and decision-making capability
Effective communication skills with the ability to work cross-functionally and build supplier relationships

Job Responsibility

Support the end-to-end management of component repairs, including dispatch, tracking progress, and ensuring the timely return-to-service of parts
Assist in managing vendor performance, monitoring turnaround times (TAT), service levels, and adherence to agreed SLAs
Support warranty claim management and contract compliance activities
Ensure accurate documentation, certification, and traceability of repaired components in accordance with EASA/CAA/FAA requirements
Coordinate with Planning, Line Maintenance, and Heavy Maintenance teams to ensure repair forecasts and inventory requirements are met
Support AOG and defect-driven material requirements to minimise aircraft downtime
Monitor and maintain the accuracy of the open RO Book to ensure timely component availability
Support the management of Logistics and Stores teams to ensure efficient handling, distribution, and storage of aircraft components
Assist in implementing continuous improvement initiatives to streamline and automate materials and repair processes
Contribute to the development and tracking of KPIs for the Materials department

What we offer

Competitive Salary
Discounted and Unlimited travel to over 230+ destinations
Defined Pension Contribution Scheme
Death in Service Benefit – Up to 2 times of annual basic salary
20 days Annual Leave – Increasing to 22 days after 12 Months & 25 days after 3 years of continuous service
Option for up to 5 additional unpaid leave days per year
Cycle2Work Scheme
Unrivalled Career Progression

Fulltime

New

Electrician Proto-MKIII

Electric routing and systems installations during the upgrade phase for prototyp...

Location

France , Marignane

Salary:

Not provided

Airbus

Expiration Date

Until further notice

Requirements

More than 5 years working in aeronautical (helicopter production activity or/and maintenance)
Experience in the helicopter Tiger
High learning capabilities and team work spirit
Good level of English needed and French desirable
LMA B1.3/B2 will be a plus

Job Responsibility

Electric routing and systems installations during the upgrade phase for prototypes Tiger MKIII

Fulltime

New

Team member

This position is responsible for interacting with customers and team members, su...

Location

Salary:

Not provided

Petsense

Expiration Date

Until further notice

Requirements

No experience required
Retail experience and/or pet/live animal knowledge is strongly preferred
A high school diploma or equivalent is preferred, but not required
Must be able to read, write and count accurately

Job Responsibility

Maintain regular and predictable attendance
Work scheduled shifts and varied hours
Take initiative to support selling initiatives (TEAM: Thank, Engage, Advise, Make it Memorable)
Operate cash register/computer
Recovery of merchandise
Participate in mandatory freight process
Complete Plan-o-gram procedures
Assemble merchandise
Perform janitorial duties
Execute price changes/markdowns

What we offer

Medical, dental, and vision coverage
Company-paid life and disability insurance
Paid parental leave
Tuition reimbursement
Family planning resources (adoption and surrogacy assistance)

New

AI/ML Software Engineer

Our client is looking for an engineer with a solid foundation in artificial inte...

Location

United States , West Coast Florida

Salary:

Not provided

Nondestructive & Visual Inspection

Expiration Date

Until further notice

Requirements

BS degree or higher in computer science, electrical engineering, computer engineering, mathematics, or related field
Minimum 1-year hands-on experience in AI or ML in a professional environment (3-5 years preferred)
Strong knowledge of machine learning model development, deployment, and modern ML libraries (tensorflow, pytorch, scikit-learn, etc.)
Solid programming background with experience using statistical and signal analysis libraries
Experience with neural network architectures, including deep learning models
Understanding of transformer architectures and attention mechanisms
Strong understanding of MLOps, deployment and processing pipelines, testing/validation
TS/SCI active clearance required
U.S. citizenship required

Job Responsibility

Designing, developing, and implementing AI/ML solutions for a wide range of decision-making and signal processing needs
Working with time-series data and developing models for event characterization, pattern recognition, anomaly detection, decision making, and automated analysis of signal sensor systems
Working with team leads to integrate AI/ML capabilities into enterprise architectures, ensuring performant processing while considering aspects of accuracy, security, and maintainability
Enabling autonomous decision-making systems that can operate with minimal human intervention, creating adaptive processing systems for dynamic environments, and discovering features and inferring system states from the underlying data streams
Working towards solutions for large-scale sensing systems, implementing tailored models to deliver intelligent insights in support of critical intelligence community and Department of Defense missions

What we offer

The company will pay for relocation

Inpatient Coding Auditors

Clarus RCM

Location:
Philippines , Pasig, Manila

Category:
IT - Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
December 07, 2025

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

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Inpatient Coding Auditors

Clarus RCM

Location:Philippines , Pasig, Manila

Category:IT - Administration

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:December 07, 2025

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

Similar Jobs for Inpatient Coding Auditors

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Location:
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Job Posted:
December 07, 2025