46 Medical Review Jobs in Cainta - page 2
-
Grow Your Career in Healthcare - Allied MNL Role MetHealth - Quezon City, Rizal - Perform peer-to-peer reviews when criteria are not met. - Interpret provider documentation for utilization decision-making. - Submit cases requiring higher review to Medical Directors. 34000 10 days ago
-
Technical Writer/Editor - Scientific Documentation (Medical Sciences) QuickStart Careers - Pasig , adaptability, and a strong command of the English language (C1 level or higher). Key Responsibilities Create, review, and maintain scientific and technical documentation related to dental and medical products 13 days ago
-
Therapist to CSR - Make the Shift MetHealth - Quezon City, Rizal - Conduct pre-service coverage reviews using evidence-based guidelines. - Determine medical appropriateness of services. - Ensure compliance with federal/state utilization review regulations. 34000 10 days ago
-
Mental Wellness Specialist - Join a Medical Account MetHealth - Quezon City, Rizal - Verify consistency in diagnosis, treatment plans, and documentation. - Collect and log medical data for research collaboration. - Review clinical records to validate treatment appropriateness. 34000 10 days ago
-
US Registered Nurse - Quezon City, NCR Optum - Pasig ). Performs reviews of current inpatient services. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. *Employees 23 days ago
-
Medical Coder Analyst (RN with CPC) / Night Shift / WFH Set Up Manpower Core Group Inc. - Taguig City, National Capital Region (PRC) License. Must be an AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC). At least 5 years of experience in the areas of CPT Coding, Medical Billing 65000 More than 30 days ago
-
Medical Quality Assurance Nurse l WFH l Night shift Manpower Core Group Inc. - Quezon City, National Capital Region : As a Medical Quality Assurance Specialist, you will: Audits daily notes for proper documentation and ensures chart reviews are timely, accurate, and meet all data requirements under CMS guideline Collaborates 55000 28 days ago
-
Medical Coder - Onsite | Taguig site | Shifting Dynamic Talent Solutions - Taguig, Philippines Abstracts, codes and sequences the classification of medical and surgical procedures, diagnosis, and treatment modalities on Inpatient and Day Surgeries. Reviews appropriate provider documentation More than 30 days ago
-
Inpatient Medical Coder J&B Services - Taguig City, National Capital Region Responsibilities: -Review inpatient medical records and documentation to assign accurate ICD-10-CM, ICD-10-PCS, and DRG codes. -Ensure compliance with CMS (Centers for Medicare & Medicaid Services 70000 More than 30 days ago
-
PHRN Needed - Earn Up to 35K - Weekends Off - WFH After MetHealth - Eastwood City, Quezon • Utilize client-specific criteria sets for claim assessments. • Route cases accurately to client medical staff for final decisions. • Conduct medical management reviews with attention to detail. 35000 16 days ago
Top locations
- Pasig City (23)
- Taguig City (18)
- Makati City (18)
- Quezon City (15)
- Manila (8)
- Muntinlupa City (4)
- Mandaluyong City (3)
- Parañaque City (2)
- See more