Usrn Academy Reviewee - Cebu City

About the job USRN Academy (Remote Review - 6 months) Work Setup/Shift: Remote review 6 months
Start Date: June 23
Qualifications:
Must be residing NCR/Cebu Province2 yrs bedside/Hospital Experience (from 2019 onwards) Responsibilities: Review and analyze patient medical records to ensure that clinical documentation accurately reflects diagnoses, procedures, and treatments.Verify that medical documentation supports accurate coding (ICD-10, CPT, HCPCS) and appropriate DRG (Diagnosis-Related Group) assignment.
Ensure compliance with U.S. healthcare regulations, including CMS and HIPAA.Identify gaps in clinical documentation and provide feedback or clarification requests to physicians or healthcare providers.Assist in improving documentation accuracy to reflect the complete and accurate clinical picture for optimal coding and reimbursement.Work with other clinical and coding teams to improve documentation practices and ensure alignment with payer requirements.Collaborate with coding teams to ensure that medical records are coded correctly, based on clinical documentation.