Process Associate
UST Global
Taguig, National Capital Region, Philippines
6d ago

Job Description Clinical Analysts to perform DRG Audit Services; which shall include documentation verification; coding validation and clinical validation of billed Services.

  • Clinical Analysts will review all claims made available in the audit system and identify those claims that are incorrect or are inconsistent with the training materials;
  • standards and policies and procedures provided by the client.

  • Clinical Analysts shall provide a payment recommendation based on that review through the audit system; which shall include documentation of the clinical Analyst's findings;
  • including the rationale behind the findings; or conclusion of no finding; or a problem with the audit which requires escalation.

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