Certified Medical Coder

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Makati, National Capital Region Genfinity Philippines, Inc.

Posted today

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 continuously expanding their services, and now 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 the following 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).

• Maintaining current knowledge of coding guidelines and relevant federal regulations using current ICD-10-CM materials, HCC risk models, and other pertinent materials.
• Demonstrating knowledge of coding multiple areas of service and/or specialties or having extensive experience in a specific specialty deemed a critical business need by PopHealthCare Coding Leadership.
• Meeting and/or exceeding productivity and coding accuracy targets (e.g., 95% accuracy, 95% completeness).
• Verifying and ensuring the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.
• Accessing multiple systems to research medical records and complete coding in a timely manner.
• Meeting minimum productivity requirements as outlined by the project.
• Adhering to PopHealthCare and Departmental Policies and Procedures.
• Supporting the chart crew mission statement and contributing to process improvements to enhance coding quality goals.
• Working remotely in a secure setting with availability to attend mandatory department meetings.
• Demonstrating flexibility and willingness to embrace change.
• Maintaining confidentiality; enhancing professional growth through in-service meetings, educational programs, conferences, etc.
• Handling other related duties as required or assigned.

• Must be in good standing with AAPC and/or AHIMA and hold an active credential (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, organizational and time-management skills.
• Amenable to work onsite at 3RD Avenue, Taguig City, Metro Manila; willingness to work night shift.

• Earn up to 60,000 PHP per month.
• HMO coverage with 1 dependent from the first day.
• Additional allowances and leave credits; 13th month salary; overtime pay.
• Health insurance.

Job Types : Full-time, Permanent

Salary : Up to Php60,000.00 per month

Ability to commute/relocate : Makati City: Reliably commute or plan to relocate before starting work (required)

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