Responsible for editing daily assigned claims, optimizing timely transmittal of accurate and clean claims. The nurse auditor is responsible for identifying and obtaining invalid or missing claim data by communicating with other departments.
• Facilitates admission of new patients and explain hemodialysis treatment procedure thoroughly. Performs intensive handling of treatment of patients. • Makes thorough assessment of the patients and management of possible complications during the ent
College Graduate of 4 year Nursing Course With at least 1- 2 years experience as Registered Nurse in a Clinic or Hospital Setting With BLS or BOSH training is an advantage Willing to be assigned in Taguig.
Identify appropriate assignment of CPT and ICD-9 Codes for Physician and facility services provided in an Observation service setting, and Inpatient setting. Perform Coding duties as appropriate according to pre-determined schedules.
Clinical Review Nurses – Nurse conducts clinical review of cases not meeting criteria by performing clinical intake and adjudicates (closes), requests additional clinical information or escalates to Medical Directors.