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Clinical Records Analyst (Cebu Onsite)

Company

OfficePartners360

Location

Cebu City, Central Visayas

Type

Full time

Job Description

  • Review incoming medical records for completeness, relevance, and quality based on claim requirements
  • Develop a clinical chronology by organizing records to reflect the progression of diagnosis and treatment
  • Identify and differentiate diagnostic records from severity-related documentation
  • Assess medical records for causation support and relevance to the claimed condition
  • Detect gaps in clinical evidence (e.g., missing records, insufficient documentation, inconsistencies) and escalate with proper rationale
  • Utilize OCR tools (e.g., Adobe Acrobat) to process scanned documents; flag illegible records for reprocessing
  • Evaluate physician-issued severity letters to ensure alignment with required clinical standards
  • Maintain accurate filing and documentation of records within internal systems
  • Update system fields and ensure all relevant information is ...

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