Certified Medical Coder

4 weeks ago

Oriental Mindoro Philippines Buscojobs Full time

Overview

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

Job Description

About the job Certified Medical Coder

Our US-based client offers groundbreaking programs in high risk population management. Their mission is to bring leading-edge health care solutions to the people who need it most. 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 regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of 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 areas of service and/or specialties, or have extensive experience in a specific specialty deemed a critical business need by PopHealthCare Coding Leadership.
  • Meet and/or exceed designated productivity and coding accuracy rate targets (95% accuracy and 95% completeness).
  • Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
  • Access multiple systems to research medical records and 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 PHC chart Crew Mission Statement and assist coding leadership by recommending process improvements to enhance coding quality and outcomes.
  • Maintain a remote (and secure) schedule with availability for mandatory department meetings and demonstrate flexibility to change.
  • Maintain strict confidentiality and participate in professional growth activities (in-service meetings, educational programs, conferences, etc.).
  • Handle other related duties as required or assigned.
Qualifications
  • Must be in good standing with AAPC and/or AHIMA and hold an active certification (CPC, CRC, CPC-P, CCS, CCS-P or PCS) with at least 2 years of prior healthcare coding experience preferred.
  • Advanced knowledge of medical terminology, abbreviations, 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, plus organizational and time management abilities.
  • Amenable to work onsite at 3RD Avenue, Taguig City, Metro Manila and willing to work night shifts.
Benefits
  • Salary: Up to Php 60,000 per month.
  • HMO coverage with 1 dependent from the first day.
  • Additional allowances and leave credits.
  • 13th month salary and overtime pay.
  • Health insurance.
  • Ability to commute/relocate: Makati City or planning to relocate before starting work (required).

Job Types: Full-time, Permanent

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