Medical Coder

2 days ago

Metro Manila Philippines Buscojobs Full time

Makati, National Capital Region Genfinity Philippines, Inc. | Posted today

Job Description

Certified Medical Coder — Our US-based client offers groundbreaking programs in high risk population management. They are expanding their services and are looking to add an experienced individual to their team.

The role of the Certified Medical Coder is to review and perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state and federal regulations, internal policies, and procedures. HCC Risk Adjustment Coders will be involved with code abstraction for programs including, but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation).

Responsibilities
  • Maintain current knowledge of coding guidelines and relevant federal regulations using current ICD-10-CM materials, HCC risk models, and other pertinent materials.
  • Demonstrate knowledge of coding multiple service areas or specialties, or have extensive experience in a specialty deemed a critical business need by PopHealthCare Coding Leadership.
  • Meet and/or exceed productivity standards and achieve coding accuracy of 95% accuracy and 95% completeness as defined by PopHealthCare Coding Leadership.
  • Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
  • Research medical records across systems to complete coding in a timely manner.
  • Meet minimum productivity requirements as outlined by the project and adhere to PopHealthCare and departmental policies and procedures.
  • Support the chart crew mission and assist coding leadership with process improvement recommendations to enhance coding quality and outcomes.
  • Work a remote (and secure) schedule while maintaining availability for mandatory department meetings; demonstrate flexibility to embrace change.
  • Maintain strict confidentiality and participate in in-service meetings, educational programs, and conferences to support professional growth.
  • Handle other related duties as required or assigned.
Qualifications
  • Must be in good standing with AAPC and/or AHIMA and hold an active credential (CPC, CRC, CPC-P, CCS, CCS-P, or PCS).
  • Two years of prior healthcare coding experience preferred; high degree of competence in the area.
  • Advanced knowledge of medical terminology, anatomy and physiology, major disease processes, and pharmacology.
  • Understanding of ICD-10 coding and HCC (Hierarchical Condition Category) coding; ICD-10 proficiency is required.
  • CPT coding experience is a plus.
  • Excellent analytical, written and verbal communication skills, and strong organizational and time management abilities.
  • Able to work onsite at 3RD Avenue, Taguig City, Metro Manila; willing to work night shifts.
Benefits
  • Salary up to Php 60,000 per month.
  • HMO coverage with one dependent from the first day.
  • Additional allowances and leave credits; 13th month salary; overtime pay.

Ability to commute or relocate to Makati City as required.

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