Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Save to My Library
Look up keyword
Like this
4Activity
0 of .
Results for:
No results containing your search query
P. 1
MicroSourcing Philippines, Inc. Employment Opportunity for Registered Nurses (Clinical Abstractors)

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

Ratings: (0)|Views: 5,137 |Likes:

More info:

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

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

07/10/2013

pdf

text

original

 
Clinical Abstractors – Philippines
ResponsibilitiesREPORTING:
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.
SUMMARY OF RESPONSIBILITIES:
 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.
Requirements
 
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
HOW TO APPLY:
 Please send your resume and cover letter to
 join@microsourcing.com
. 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

Activity (4)

You've already reviewed this. Edit your review.
1 hundred reads
1 thousand reads

You're Reading a Free Preview

Download
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->