Impactful RN Clinical Quality Data Auditor

Eva Care Management Consultancy, Inc; Makati; On-site; PHP 335,000 - 502,000; Full time

Benefits offered by this job

Competitive Salary Package

Annual Performance Bonus

Opportunity for training and work rel.

2 Free Duty meals

Company Subsidized Lodging

HMO

Vacation and Sick Leave credits up to

Job summary

Eva Care Management Consultancy, Inc. is seeking a Registered Nurse with at least 1 year of clinical experience to join our team in Makati. The role involves analyzing resident health records, conducting audits, and ensuring compliance with HIPAA and health regulations.

On-site night shift work is required, with opportunities for training and US relocation consideration. You will generate and review clinical data, communicate with clinical leadership, and support billing workflows while

Qualifications

• Must be a Registered Nurse.
• With at least 1 year experience in a clinical setting.
• Ability to critically analyze Electronic Health Reports.
• Willing to work on site in Makati and night shift schedule.
• Can start ASAP.

Responsibilities

• Generate and analyze resident clinical data to detect defects, fraud, or non-compliance with health laws.
• Assess compliance with US federal and state health laws and standards.
• Identify inconsistencies in patient health information and document findings.
• Perform quantitative and qualitative analysis of medical records to detect deficiencies.
• Prepare detailed audit reports on findings.
• Submit compliance reports to relevant parties promptly.
• Communicate with CQDA team, administrators, and IT to verify data.
• Maintain confidentiality and security of resident health information.
• Assist billing and collection processes while observing HIPAA.
• Handle day-to-day administrative tasks and maintain data files.

Skills

Registered Nurse

NCLEX passer

Clinical experience

Critical thinking

Job description

Eva Care Management Consultancy, Inc. is seeking a Registered Nurse with at least 1 year of clinical experience to join our team in Makati. The role involves analyzing resident health records, conducting audits, and ensuring compliance with HIPAA and health regulations.

On-site night shift work is required, with opportunities for training and US relocation consideration. You will generate and review clinical data, communicate with clinical leadership, and support billing workflows while