Role: clinical analyst / medical reviewer / cda
location: guadalajara (mexico) || av tizoc 97, cd del sol, 45050 zapopan, jal., mexicojob details:
we are hiring forclinical analyst rolesin areas such asvirtual operational review (vor)andclinical denial analysis (cda). This opportunity is ideal forfresh graduates in medicine or life sciencesas well asexperienced physicians, especially those with exposure torcmorhealthcare bpo operations .
You will play a critical role in reviewing clinical documentation and identifying inconsistencies or areas of improvement that impact claims or patient care records.clinical service – vor (virtual operational review):
review clinical documents and submissions made by healthcare professionals
ensure completeness, clarity, and compliance with medical documentation standards
clinical denial analyst (cda):
analyze medical charts and documentation to identify errors, gaps, or inconsistencies
flag documentation issues that may lead to insurance claim denials
collaborate with physicians or other stakeholders to resolve discrepancies
skills required
strongenglish communication skills– verbal and written
basic understanding ofclinical terms, medical charts, and documentation standards
analytical thinking and attention to detail
willingness to work in aprocess-driven, fast-pacedenvironmentexpectations
freshers with bachelor’s inscience or medicine
experiencedphysicians
professionals with experience inrevenue cycle management (rcm)
candidates with priorhealthcare bpo experience(e.g., teleperformance, omega, cognizant, etc.)