Medical Coder with Risk Adjustment Coding
2 months ago
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 service under review.
Conduct thorough chart reviews by leveraging computer-assisted coding tools to assess, interpret, and apply appropriate coding principles. This ensures valid diagnosis codes are supported by documented evidence in the medical record, all done on the same day of service.
Demonstrate a comprehensive understanding of CMS-HCC guidelines to ensure the medical records align with standards, including but not limited to signature requirements, medical encounter types, and places of service.
Exhibit advanced knowledge of medical terminology, anatomy, and physiology to accurately assign diagnosis codes and capture supporting information from the medical record.
Effectively manage the quality and productivity of individual work, ensuring goals are met or exceeded.
Perform necessary administrative duties as directed by the Team Lead/Operations Lead/Quality Lead.
Consult with the Team Lead/Operations Manager or Subject Matter Expert (SME) in Coding as necessary to ensure accuracy and compliance.
Job Requirements and Qualifications
License/Certification
Must hold and maintain an active certification as a Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) through the American Academy of Professional Coders (AAPC).
Alternatively, a Certified Coding Specialist (CCS) and/or Certified Coding Specialist – Physician-based (CCS-P) through the American Health Information Management Association (AHIMA) is acceptable.
Education
Associate Degree or equivalent HCC coding experience.
Skills
Proficient in computer use, including MS Windows, MS Office, and internet-based tools.
Proficient in the use of official ICD-10-CM coding books or encoder software, corresponding to the dates of service being reviewed.
Demonstrates the ability to assign diagnosis codes accurately following the official guidelines and section/chapter level instructions.
Ability to apply ICD-10-CM outpatient diagnosis coding guidelines.
Preferred Skills/Experience
Knowledge of Hierarchical Condition Code (HCC) concepts.
Familiarity with HIPAA regulations, ensuring the protection of privacy, security, and confidentiality of medical records.
Understanding of the AMA format and CMS HCC Risk Adjustment coding, along with validation requirements.
EMR/EHR experience preferred.
Additional Details:
4-Month Non-Renewable Contract
Shifts: 1 PM-10 PM and 3 PM-12 MN
Two Weeks Full Onsite Training
Regular Work: Twice a Week RTO
-
Medical Coder with Risk Adjustment Coding
2 months ago
Taguig, Philippines GECO Philippines Inc. Full timeFull 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...
-
Risk Adjustment Coder Specialist
3 weeks ago
Taguig, National Capital Region, Philippines TASQ Staffing Solutions Full timeAbout UsTASQ Staffing Solutions is a leading staffing agency providing top talent to the healthcare industry.Job SummaryWe are seeking a highly skilled Risk Adjustment Coder to join our team. As a Risk Adjustment Coder, you will be responsible for accurately coding medical records to ensure compliance with regulatory requirements and maximize revenue for our...
-
Dedicated Risk Adjustment Coder
1 month ago
Taguig, National Capital Region, Philippines GECO Philippines Inc. Full timeWe 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...
-
Senior Medical Coding Specialist
3 weeks ago
Taguig, National Capital Region, Philippines GECO Philippines Inc. Full time**Job Overview:**GECO Philippines Inc. is a reputable organization seeking a highly skilled and experienced Senior Medical Coding Specialist - Risk Adjustment to join our team.We offer a competitive salary of $50,000 per annum, along with a comprehensive benefits package and opportunities for professional growth.**Job Description:**As a Senior Medical Coding...
-
Medical Coding Specialist
2 weeks ago
Taguig, National Capital Region, Philippines GECO Philippines Inc. Full timeWe are seeking a highly skilled Medical Coding Specialist with expertise in risk adjustment coding to join our team at GECO Philippines Inc.About the RoleIn this exciting opportunity, you will be responsible for accurately assigning diagnosis codes following the Official ICD-10-CM Guidelines for Coding and Reporting. This includes coding for conditions...
-
Risk Adjustment Coder
3 months ago
Taguig, Philippines Tasq Staffing Solutions Full timeRequirements:Bachelor's degree in Nursing or Medical-related courseWith recent medical coding experience in clinical/BPO/CPO set-upMust have an active Certified Risk Adjustment Coder (CRC) license or Certified Professional Coder (CPC) licensePrevious experience in Medicare Risk Adjustment is requiredExcellent communication, organizational, time management,...
-
Risk Adjustment Coder
3 months ago
Taguig City, Philippines Tasq Staffing Solutions Full timeRequirements: 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...
-
Risk Adjustment Coder
3 months ago
Taguig City, Philippines Tasq Staffing Solutions Full timeRequirements: 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...
-
Risk Adjustment Coder
1 month ago
Taguig, Philippines TASQ Staffing Solutions Full timeWork 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...
-
Risk Adjustment Coder
1 month ago
Taguig, Philippines TASQ Staffing Solutions Full timeWork 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 >...
-
Risk Adjustment Coder
1 month ago
Taguig, Philippines TASQ Staffing Solutions Full timeWork 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 >...
-
Medical Coding Specialist
2 months ago
Taguig, National Capital Region, Philippines GECO Philippines Inc. Full timeJob 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...
-
Medical Coding Specialist
1 week ago
Taguig, National Capital Region, Philippines TASQ Staffing Solutions Full timeJob DescriptionWe are seeking a highly skilled Medical Coding Specialist to join our team at TASQ Staffing Solutions.Key Responsibilities:Accurately code medical records in accordance with industry standards and regulationsCollaborate with healthcare professionals to ensure accurate coding and optimal reimbursementStay up-to-date with the latest coding...
-
Senior Clinical Coding Specialist
1 month ago
Taguig, National Capital Region, Philippines TASQ Staffing Solutions Full timeAt TASQ Staffing Solutions, we are committed to providing exceptional staffing solutions to our clients. As a Senior Clinical Coding Specialist, you will play a critical role in ensuring the accuracy and quality of medical coding services.Job OverviewWe are seeking a highly skilled and experienced Medical Risk Adjustment Consultant to join our team. In this...
-
Senior Risk Adjustment Coding Specialist
1 month ago
Taguig, National Capital Region, Philippines QUESS PHILIPPINES CORPORATION Full timeAbout 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...
-
Medical Coding Specialist
2 months ago
Taguig, National Capital Region, Philippines RecruiterPH Full timeClinical Coding Jobs: **Job Title:** In-Patient Coder**About the Role:** We are looking for a highly skilled In-Patient Coder to join our team at RecruiterPH. The ideal candidate will have experience in medical record coding in acute care settings and be familiar with handling OB/NB or 1-day stays, and Acute Psych. **Responsibilities:** • Perform medical...
-
Medical Coder Supervisor
5 months ago
Quezon City, Taguig, Makati, Muntinlupa City, Philippines Gratitude Philippines Full timeJob Description Responsibilities: Lead and manage a team of medical coders, including hiring, training, evaluating performance, and providing feedback. Ensure coding practices adhere to relevant coding guidelines, regulations, and standards, such as ICD (International Classification of Diseases) and CPT (Current Procedural Terminology). Implement quality...
-
Medical Coder Supervisor
5 months ago
Quezon City, Taguig, Makati, Muntinlupa City, Philippines Gratitude Philippines Full timeJob Description Responsibilities: Lead and manage a team of medical coders, including hiring, training, evaluating performance, and providing feedback. Ensure coding practices adhere to relevant coding guidelines, regulations, and standards, such as ICD (International Classification of Diseases) and CPT (Current Procedural Terminology). Implement quality...
-
Inpatient Medical Coder
4 weeks ago
Taguig, Philippines Tasq Staffing Solutions Full timeRequirements:Bachelor's degree in Nursing or Medical-related courseWith recent medical coding experience in clinical/BPO/CPO set-upWith active Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) licenseExcellent communication, organizational, time management, and interpersonal skillsOnsite
-
Medical Coding Specialist
1 month ago
Taguig, National Capital Region, Philippines RecruiterPH Full timeJob Title: Medical Coding SpecialistWe are seeking a skilled Medical Coding Specialist to join our team at RecruiterPH. In this role, you will be responsible for coding medical records accurately and efficiently.Required Skills and Qualifications:A minimum of 1-3 years' experience in medical record coding in an acute care setting.Bachelor's degree in Health...