USRN Trainer - Pasig (NY License preferred)
Pasig, National Capital Region
Posted 2 days ago
- Company:
- TASQ Staffing Solutions
- Company Description:
- Founded by experts with more than 70 years of collective experience in the staffing solutions industry, TASQ understands the unique challenges in the talent acquisition space and is committed to being the trusted partner of companies in their pursuit of hiring the best people to fill their manpower needs. Composed of highly skilled team members who have worked with organizations ranging from small-to-medium entities to large-scale enterprises (including Fortune 500 companies), TASQ is fully capable of meeting staffing demands at all levels and across different industries.
- Contract Type:
- Full Time
- Experience Required:
- 1 year
- Education Level:
- Bachelor’s Degree
- Number of vacancies:
- 1
Job Description
Work Setup/Shift: WFO / Night shift
Start Date: ASAP
Qualifications:
Bachelor's Degree in Nursing (BSN)
Active USRN License of any state (NY preferred)
Atleast 1-2 years as a Process Trainer
Minimum 1-2 years experience in a US Healthcare account (Utilization Management Review and Clinical Appeals)
Experience with utilization of Interqual/MCG Guidelines
Exposure to Inpatient/Concurrent reviews
Must be amenable to report in Manila
Responsibilities:
1. Clinical Review & Auditing:
Review patient medical records to ensure the accuracy and completeness of documentation.
Evaluate and verify the appropriateness of medical codes based on patient diagnoses and procedures.
Assist in medical coding audits and provide recommendations for improvements.
Collaborate with other healthcare professionals to resolve discrepancies in patient records.
2. Medical Coding Support:
Work closely with medical coders to ensure compliance with U.S. healthcare regulations and standards.
Provide clinical expertise in the identification of proper coding for procedures and diagnoses.
Maintain knowledge of the latest updates to ICD-10, CPT, and other coding guidelines.
3. Quality Assurance & Compliance:
Ensure that all healthcare documentation aligns with U.S. healthcare laws, policies, and regulations (HIPAA, CMS).
Identify trends or recurring issues related to clinical documentation and coding, and escalate as necessary.
Participate in training programs to stay updated on U.S. healthcare regulations and clinical practices.
