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

Distributor Account Manager

Provi is looking for a Distributor Account Manager to support a large portfolio ...

Location

United States , Chicago; Austin

Salary:

73500.00 - 85000.00 USD / Year

Provi

Expiration Date

Until further notice

Requirements

Execution & Organization: Highly organized and able to manage competing priorities across a large book of business with speed and accuracy
Clear Communicator: Strong written and verbal communication skills, especially in fast-paced, high-volume environments
Customer-Focused: Empathetic and solution-oriented, able to provide value even with limited time and touchpoints
Ownership Mentality: Proactive, reliable, and comfortable taking initiative with minimal oversight
Team Player: Collaborative, positive, and effective when working cross-functionally with other internal teams like Customer Support

Job Responsibility

Managing a large portfolio of Distributor Partners and serving as a highly responsive, organized point of contact for day-to-day questions and requests
Driving adoption of Provi’s core tools by communicating best practices through written outreach, quick calls, and scalable trainings
Monitoring distributor performance metrics, identifying risks or opportunities at scale, and taking action to drive active retailers and GMV
Partnering closely with Support and internal teams to help resolve issues efficiently while maintaining distributor trust and momentum
Identifying opportunities to expand usage of Provi tools through consistent, value-driven touchpoints
Owning the distributor contract renewal process across a large portfolio, ensuring timely renewals and identifying opportunities for standard price adjustments while maintaining strong retention and satisfaction

What we offer

Health, Dental, Vision, 401K with match, Commuter Perks, Long/Short Term Disability, Employee Assistance Program, and Unlimited PTO

Fulltime

New

Waitstaff

Location

United States , Seattle

Salary:

21.30 - 25.56 USD / Hour

Atria Senior Living

Expiration Date

Until further notice

Requirements

Basic reading, writing, and math skills
Effective verbal and written English skills
General knowledge of sanitation and safe food handling practices
No experience needed

Job Responsibility

Set and clear tables, take residents’ dining orders, and provide the highest level of customer service
Review menus with residents and acquaint new residents with dining at Atria
Assist with the preparation, delivery, and cleanup of daily meals, banquets, and special events
Create a strong sense of teamwork with your colleagues and positive relationships with residents
Clean and sanitize carpet, tables, chairs, condiment containers, and equipment used in the dining room

What we offer

Competitive Pay
Paid Holidays & PTO
Comprehensive Health Plans
Career Advancement Opportunities
Tuition Reimbursement
Employee Loyalty Rewards Program
Retirement Savings Plan with Employer Match
Rewards & Recognition
Health & Safety

Parttime

New

Operations Assistant

We are looking for a dedicated Operations Assistant to join our team in Kissimme...

Location

United States , Kissimmee

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1–2 years of experience in operations, project coordination, or a related field
Strong written and verbal communication skills
Ability to lead and actively participate in project calls, coordinating across teams
Proficiency in office and data management software for PC or Mac
Exceptional organizational skills and attention to detail
Capability to work under pressure and manage deadlines effectively
Comfortable collaborating with stakeholders at various levels
Bachelor's Degree in a related field

Job Responsibility

Coordinate and manage project tasks, ensuring timely delivery of assets and deliverables
Facilitate cross-functional meetings to clarify requirements and align teams
Maintain accurate records and documentation to support ongoing operations
Organize and prioritize routine activities with guidance from leadership
Communicate updates effectively across teams and stakeholders
Adapt to shifting priorities while managing multiple tasks simultaneously
Collaborate with partners at various levels to support team objectives
Utilize office software on both PC and Mac platforms to optimize workflows
Monitor timelines and productivity to ensure objectives are met
Provide support during peak periods and tight deadlines

What we offer

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

New

Contract Management Lead

As part of Shropshire Councils transformation programme, it is investing in a ne...

Location

United Kingdom , Shrewsbury

Salary:

55618.00 - 60031.00 GBP / Year

Shropshire Council

Expiration Date

February 17, 2026

Requirements

significant and demonstrable knowledge and understanding of various current forms of contracts documentation, systems and processes
ability to lead the development and delivery of policy, strategy, guidance and training on programmes of work relating to contract management within strict audit and risk mitigation regimes

Job Responsibility

provide a strategic business partnering approach to lead the development of commercial contract management best practice across the Council in order to drive commercial outcomes for non-pay spend

Fulltime

New

Principal Specialist – Sales Analytics & Forecasting

Join NTT DATA as a Principal Specialist in Sales Analytics & Forecasting, where ...

Location

India , Gurgaon

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

5–7 years of experience in sales analytics, forecasting, or commercial insights for IT services or B2B enterprise sales
Tier 1 consulting experience (e.g., McKinsey, BCG, Bain) with a focus on analytics-led sales or GTM transformation
Hands-on proficiency in Excel and visualization tools (Power BI/Tableau)
Experience with CRM and pipeline systems (e.g., Salesforce)
Excellent business storytelling and analytical synthesis skills

Job Responsibility

Lead and evolve the analytics strategy across the sales funnel — including pipeline generation, conversion, and revenue realization
Drive insights into coverage effectiveness, lead velocity, stage transitions, slippage, and win/loss trends to uncover performance levers
Develop and maintain AI-driven models for revenue forecasting, win probability scoring, lead-to-deal conversion, and risk identification
Use forward-looking analytics to anticipate performance shifts and recommend data-backed actions
Collaborate with sales leaders and account teams to identify whitespace and pipeline opportunities through data
Use analytics to guide where and how sales can be accelerated through smarter prioritization, focus areas, and targeting strategies — without anchoring on vertical-specific GTM plans
Support commercial leaders by benchmarking key sales metrics (pipeline velocity, coverage ratios, funnel hygiene) and providing insights that guide initiatives like territory design, account coverage models, and productivity enhancement — framed through a data-first lens
Collaborate with senior stakeholders — including sales executives, operations leads, and business unit heads — to deliver analytics-driven insights and support strategic decision-making through dashboards, briefings, and scenario-based analytics

Fulltime

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

Inpatient DRG Nursing Auditor

Senior Clinical Coding Auditor & Trainer

Medical Director of Revenue Integrity

Distributor Account Manager

Waitstaff

Operations Assistant

Contract Management Lead

Principal Specialist – Sales Analytics & Forecasting

Location:
Philippines , Pasig, Manila

Category:
IT - Administration

Contract Type:
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Job Posted:
December 07, 2025