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MicroSourcing Philippines, Inc. Employment Opportunity for Registered Nurses (Clinical Abstractors)

MicroSourcing Philippines, Inc. Employment Opportunity for Registered Nurses (Clinical Abstractors)

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Categories:Types, Brochures
Published by: PhilippineNursingDirectory.com on Jun 02, 2011
Copyright:Attribution Non-commercial


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Clinical Abstractors – Philippines
Manager, Clinical Auditing Services - Philippines
POSITION SUMMARYClinical Abstractors
are responsible for applying clinical and/or medicalcoding knowledge in the review of evidentiary documentation in medicalrecords. This position requires the ability to perform accurate and completediagnostic coding, abstraction of pharmaceutical studies, HEDIS medicalrecords reviews, and other related duties in a high quality and productionenvironment.
 Clinical Abstraction assignments may include work from all lines of Company’s business (e.g., diagnostic auditing, HEDIS reviews, drugsafety/efficacy studies). Each assignment will have specific requirementsand timelines.
Diagnostic Coding:
Clinical Abstractors review assigned medical records and apply appropriatediagnostic codes and modifiers according to Generally Accepted MedicalCoding Guidelines, ICD-9 Guidelines and CMS Correct Coding Initiatives,coding guidelines approved by CMS, and all rules, regulations andguidelines promulgated by CMS and applicable to contractors andsubcontractors of CMS-approved sponsors (collectively the “Standards”),all as reasonably interpreted by the Company.
HEDIS Reviews:
Clinical Abstractors review assigned medical records and documentmeasure specific clinical data according to NCQA technical specificationsfor hybrid medical records reviews.Health Outcomes Studies: Clinical Abstractors review assigned medical
records and document relevant clinical data according to stated studyobjectives.
Health Outcomes Studies:
Clinical Abstractors review assigned medicalrecords and document relevant clinical data according to stated studyobjectives.
At least 3 years of professional nursing experience.
Active RN license in good standing and certification from the UnitedStates based National Council Licensure Examination (NCLEX-RN)or National Philippines Nursing Accreditation equivalent
Knowledge of ICD-9-CM diagnostic coding and inpatient andoutpatient coding guidelines, (experience with HEDIS and CMS HCCRisk Adjustment coding and data validation is an advantage
Two years experience with chart investigation, including medicalcoding, HEDIS, QA, Disease Management, Utilization Review or Case Management.
Proven ability to perform in high production environment
Must be willing to work on flexible schedule including night shift
Must be willing to work in The Fort, TaguigJob Package Details
This is the compensation package for this job opening:Salary: Php 13000 to Php 15000 depending on your qualifications
 Please send your resume and cover letter to
. Kindly write the position you're applying for as the subject of your message.For questions please call
(02) 437-1000
and ask to be connected toManpower Acquisition Department
Onsite Chart Acquisition SpecialistResponsibilitiesReporting:
Scheduling Supervisor/Lead
Position Overview:
 Outcomes Health assists health care providers in the review and/or auditing of medical record data. The
Onsite Acquisition Specialist
 contacts medical facilities to request a medical record review via thedeployment of an onsite reviewer. This position operates within anoutbound call center environment and is driven by daily goals and projectdeadlines.The successful candidate will have experience in a fast paced, goaloriented, outbound call center environment (customer service/sales).Experience in dispatching personnel for various services is a plus but not arequirement.
Hours and Work Schedule:
8 to 10 hour shifts ranging from a start time of 8:30AM to 11PM based on project needs.
Job Responsibilities:
Contact by phone all assigned medical offices/facilities for thefollowing:o Validation of demographic data for the medical provider’s locationo Confirmation of the presence of the requested chart(s)o Scheduling of a field staff representative to go onsite for retrieval
Managing the calendars of 7 to 12 field staff representatives,ensuring that their work week is fully maximized based on their hourlyproduction rate/availability
Research and resolve any scenario when a medical record is notavailable or demographic data is not correct
Document site interaction within our scheduling software

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