Medical Coder

4 months ago


Taguig, Philippines QUESS PHILIPPINES CORPORATION Full time

• 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: 1PM-10PM or 3PM-12MNSkills:•Computer proficiency (including MS Windows, MS Office, and the internet)•Ability to use an official ICD-10-CM code book or Encoder software which corresponds to the date(s) of service being reviewed to assign diagnosis codes appropriately and according to official guidelines and section/chapter level instructions•Knowledge of and ability to apply ICD-10-CM outpatient diagnosis coding guidelines•2-5 years risk adjustment coding experiencePreferred Skills/Experience:•Knowledge of Hierarchical Condition Code concepts•Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical records and member information•Knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements preferred•EMR/EHR experience preferred•Related outsourcing/vendor operations experience preferred•Risk Adjustment Data Validation (RADV) experience preferred•Code Auditing experience preferred•5+ years risk adjustment coding experience preferred



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