Clinical Abstraction assignments may include work from all lines of Company business (e.g., diagnostic auditing, HEDIS review, drug safety / efficacy studies).
Each assignment will have specific requirements and time-lines.
Diagnostic Coding : Clinical Readers review assigned medical records and apply appropriate diagnostic codes and modifiers according to Generally Accepted Medical Coding Guidelines, ICD-10-CM Guidelines and CMS Correct Coding Initiatives, coding guidelines approved by CMS, and all rules, regulations and guidelines promulgated by CMS and applicable to contractors and subcontractors of CMS-approved sponsors (collectively â
156;Standardsâ), all as reasonably interpreted by the Company.
HEDIS Reviews : Clinical Readers review assigned medical records and document measure specific clinical data according to NCQA technical specifications for hybrid medical records reviews.
Health Outcomes Studies : Clinical Readers review assigned medical records and document relevant clinical data according to stated study objectives.
Other specific details of the job will be made known to the employee by their immediate supervisor which may be in varying scope dependently on prevailing project undertakings.
With at least 6 months of clinical or hospital experience
Active Nursing License, REQUIRED
Active AAPC / CPC-A Coding License
Amenable to work in BGC, Taguig on a morning schedule
What's in it for you?
Competitive Compensation and Benefits package
Private HMO Coverage with coverage of up to 2 dependents*
Group Life Insurance
Flexible Medical Reimbursement
Performance Bonus and allowances
Up to 25 Paid Time Off days in a year
15K* SIGN ON BONUS!
Free pick-up grab for recruitment process
500-1000* GC per show up!