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5 Clinical Reviewer Jobs

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1.0 - 4.0 years

3 - 6 Lacs

chennai

Work from Office

Home Health Clinical Reviewer ICD-10, OASIS-E, POC (Level 2 & 3) Job Summary: We are seeking an experienced and detail-oriented Home Health Clinical Reviewer with expertise in ICD-10 coding, OASIS-E assessments, and Plan of Care (POC) reviews at Levels 2 and 3. The ideal candidate will ensure clinical documentation accuracy, regulatory compliance, and optimal reimbursement through precise coding and thorough review of patient records. This role plays a critical part in maintaining quality care standards while supporting operational efficiency in our home health program. Key Responsibilities: 1. ICD-10 Coding Assign accurate ICD-10-CM diagnosis codes for home health episodes in accordance wit...

Posted 1 week ago

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3.0 - 8.0 years

10 - 12 Lacs

Hyderabad

Work from Office

Our reputed MNC Client is hiring for Nurse Reviewer role: Shift: 11:30 AM - 8:30 PM Work Mode: Work From Office (5 days) Location: Hyderabad Job Summary: We are seeking an experienced Nurse Reviewer to conduct in-depth claim reviews based on medical guidelines, clinical criteria, and billing rules. The ideal candidate will have a strong understanding of medical coding, clinical experience, and excellent communication skills. Key Responsibilities: - Conduct claim reviews to identify areas with savings potential - Review and validate charges against medical documentation - Contact medical providers to resolve billing inconsistencies - Manage claims reports and prioritize according to client st...

Posted 3 months ago

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1.0 - 4.0 years

0 - 0 Lacs

Hyderabad

Work from Office

Roles and Responsibilities Review clinical documents such as medical records, lab reports, radiology results, and other relevant data to ensure accuracy and completeness. Verify patient information, diagnoses, treatments, medications, and outcomes against electronic health records (EHRs) or paper charts. Identify discrepancies between EHRs/charts and resolve them by contacting physicians or updating documentation accordingly. Maintain confidentiality of all patient information while performing reviews. Collaborate with healthcare providers to clarify any unclear or incomplete information. Desired Candidate Profile 1-4 years of experience in a similar role as Clinical Reviewer/Staff Nurse. B....

Posted 3 months ago

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1 - 6 years

3 - 7 Lacs

Hyderabad, Chennai, Mumbai (All Areas)

Work from Office

Role & responsibilities Were Hiring Clinical Investigator / Reviewer | Hyderabad | Up to 7 LPA We're looking for a Clinical Reviewer to join our team in Hyderabad! Role: Clinical Reviewer Location: Hyderabad Experience: Minimum 1 year in Clinical Review Certification: CPC certification is mandatory Compensation: Up to 7 LPA Notice Period: Immediate to 30 days Relieving Letter: Required Interested? Send your updated resume via WhatsApp to: HR Surya 8125761519 Referrals Welcome! Know someone who fits the bill? Refer them and help them land a great opportunity! Preferred candidate profile Were Hiring Clinical Investigator / Reviewer | Hyderabad | Upto 7 LPA

Posted 4 months ago

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1 - 5 years

3 - 7 Lacs

Hyderabad

Work from Office

We Are Hiring || IVR Clinical Reviewer || Hyderabad || Up to 7 LPA Exp :- Min 1+ years exp as a Clinical reviewer into IVR Only certified coders *Package :-Up to 7LPA Locations :- Hyderabad Work from office Reliving is Mandatory Notice period:Prefers Immediate joiners- 30 days Interested candidates can share your updated resume to amounikaaxiservices@gmail.com HR Mounika - 9849854938 (share resume via WhatsApp ) Refer your friend's / Colleagues

Posted 4 months ago

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