Process Associate
PH,PH,Taguig City
15d ago

UST Global is a private high growth organization headquartered in Orange County California and is a leading provider of Advanced Computing and Digital Services for Global 1000 companies worldwide.

Our next-generation digital consultancy is the ideal place for you to grow your career. Are you up for the challenge? Read on! 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 policies and guidelines
  • 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.
  • Qualifications

  • Must be a graduate of Nursing and must be a Registered Nurse
  • Must be a certified coding specialist (CSS) or certified inpatient coder (CIC)
  • 1 year of clinical experience
  • Medical coding experience an advantage but not required
  • Amenable to working nights
  • Primary Location Organization

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