Risk Adjustment Coder

We are seeking a skilled and detail-oriented Medical Coder with expertise in Risk Adjustment Coding to join our team at GECO Philippines Inc.About the RoleAs a key member of our coding team, you will be responsible for accurately assigning diagnosis codes following the Official ICD-10-CM Guidelines for Coding and Reporting. This includes coding for...

Requirements: Bachelor's degree in Nursing or Medical-related course With recent medical coding experience in clinical/BPO/CPO set-up Must have an active Certified Risk Adjustment Coder (CRC) license or Certified Professional Coder (CPC) license Previous experience in Medicare Risk Adjustment is required Excellent communication, organizational, time...

Job Title: Medical Coder with Risk Adjustment CodingWe are seeking a highly skilled Medical Coder with expertise in Risk Adjustment Coding to join our team at GECO Philippines Inc.Key Responsibilities:Accurately assign diagnosis codes following the Official ICD-10-CM Guidelines for Coding and Reporting.Conduct thorough chart reviews using computer-assisted...

Requirements: Bachelor's degree in Nursing or Medical-related course With recent medical coding experience in clinical/BPO/CPO set-up Must have an active Certified Risk Adjustment Coder (CRC) license or Certified Professional Coder (CPC) license Previous experience in Medicare Risk Adjustment is required Excellent communication, organizational, time...

Full job description Role: Medical Coder with Risk Adjustment Coding Key Responsibilities: Accurately assign diagnosis codes following the Official ICD-10-CM Guidelines for Coding and Reporting. This includes coding for conditions relevant to the Center for Medicare & Medicaid Services’ Hierarchical Condition Categories (CMS-HCC), covering the year(s) of...

Full job description Role: Medical Coder with Risk Adjustment Coding Key Responsibilities: Accurately assign diagnosis codes following the Official ICD-10-CM Guidelines for Coding and Reporting. This includes coding for conditions relevant to the Center for Medicare & Medicaid Services’ Hierarchical Condition Categories (CMS-HCC), covering the year(s) of...

Work setup: Temporary WFH set-up | TaguigShift schedule: DayshiftNon-negotiable Requirements:> Bachelor's degree in Nursing or Medical-related course> At least 1 year of recent medical coding experience in clinical/BPO/CPO set-up> Must have an active Certified Risk Adjustment Coder (CRC) license or Certified Professional Coder (CPC) license> Previous...

Work setup: Temporary WFH set-up | Taguig Shift schedule: Dayshift Non-negotiable Requirements: > Bachelor's degree in Nursing or Medical-related course > At least 1 year of recent medical coding experience in clinical/BPO/CPO set-up > Must have an active Certified Risk Adjustment Coder (CRC) license or Certified Professional Coder (CPC) license >...

Work setup: Temporary WFH set-up | Taguig Shift schedule: Dayshift Non-negotiable Requirements: > Bachelor's degree in Nursing or Medical-related course > At least 1 year of recent medical coding experience in clinical/BPO/CPO set-up > Must have an active Certified Risk Adjustment Coder (CRC) license or Certified Professional Coder (CPC) license >...

About Quess Philippines CorporationWe are seeking a highly skilled and experienced Senior Risk Adjustment Coding Specialist to join our team.Job SummaryThe ideal candidate will have a strong background in risk adjustment coding, with experience working on large-scale projects. They will be responsible for accurately assigning diagnosis codes in accordance...

Job Description:Medical Coder with Risk Adjustment CodingAt GECO Philippines Inc., we seek a skilled Medical Coder with Risk Adjustment Coding expertise to join our team. In this role, you will be responsible for accurately assigning diagnosis codes following the Official ICD-10-CM Guidelines for Coding and Reporting.Key Responsibilities:Assign diagnosis...

Risk Adjustment Coding OpportunityWe are seeking a Risk Adjustment Coding Specialist to join our team at Quess Philippines Corporation. The ideal candidate will have experience in risk adjustment coding and be proficient in using ICD-10-CM coding guidelines. **Responsibilities:**• Apply ICD-10-CM outpatient diagnosis coding guidelines• Use official...

Job Title: Medical CoderWe are seeking a highly skilled Medical Coder to join our team at Quess Philippines Corporation. As a Medical Coder, you will be responsible for accurately assigning diagnosis codes to medical records in accordance with ICD-10-CM guidelines.Key Responsibilities:Assign diagnosis codes to medical records using ICD-10-CM guidelinesEnsure...

• Experience: Risk Adjustment Coding (Certification is not mandatory)• Contract Duration: 4 months (possible extension depends on the project)• Start Date: Earliest by first week of October• Work Set Up: Hybrid (first 1-2 weeks will be full RTO for training, then will go hybrid)• Location Uptown 3, BGC, Taguig | Max 2x a week RTO• Shift Schedule:...

• Experience: Risk Adjustment Coding (Certification is not mandatory) • Contract Duration: 4 months (possible extension depends on the project) • Start Date: Earliest by first week of October • Work Set Up: Hybrid (first 1-2 weeks will be full RTO for training, then will go hybrid) • Location Uptown 3, BGC, Taguig | Max 2x a week RTO • Shift...

• Experience: Risk Adjustment Coding (Certification is not mandatory) • Contract Duration: 4 months (possible extension depends on the project) • Start Date: Earliest by first week of October • Work Set Up: Hybrid (first 1-2 weeks will be full RTO for training, then will go hybrid) • Location Uptown 3, BGC, Taguig | Max 2x a week RTO • Shift...

Job Responsibilities• Ensure that errors in the processing pipeline are minimized to an acceptable level.• Implement measures to prevent fraudulent activities and minimize associated losses.• Evaluate loan applications based on a thorough assessment of creditworthiness.• Provide timely and effective solutions to customer complaints.• Generate...

• Develop end to end delivery plan in conjunction with internal and external stakeholders (e.g. Software, System Integration vendors) and drive execution of the plan• Serve as the primary point of contact for all project stakeholders, including bank executives, department heads, vendor representatives. Ensure regular communication and manage expectations...

Roles and Responsibilities: • PH Nurses to review treatment authorization request based on state guidelines and medical necessity and take decision to approve/deny. In case of denial send this to independent panel review to support the decision. Nurses will work with Claims adjuster on denial decision based on risk tolerance to ensure the denial doesn’t...

Roles and Responsibilities: • PH Nurses to review treatment authorization request based on state guidelines and medical necessity and take decision to approve/deny. In case of denial send this to independent panel review to support the decision. Nurses will work with Claims adjuster on denial decision based on risk tolerance to ensure the denial doesn’t...