Certified Medical Coder

4 weeks ago

Metro Manila Philippines Buscojobs Full time

Overview

Certified Medical Coder jobs in Muntinlupa, 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 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).

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 extensive experience in a specific specialty deemed a critical business need by PopHealthCare Coding Leadership.
  • Meet and/or exceed designated productivity and coding accuracy 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 the medical record when needed to complete the coding in a timely manner.
  • Meet minimum productivity requirements as outlined by the project.
  • Adhere to PopHealthCare and Departmental Policies and Procedures.
  • Practice and adhere to the PHC chart Crew Mission Statement.
  • Assist coding leadership by making recommendations for process improvements to enhance coding quality goals and outcomes.
  • Work a remote (and secure) schedule, with availability to attend mandatory department meetings.
  • Demonstrate flexibility and willingness to embrace change.
  • Maintain strict confidentiality.
  • Enhance professional growth through 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 CPC, CRC, CPC-P, CCS, CCS-P or PCS with high competence in this area; 2 years 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; strong organizational and time management abilities.
  • Amenable to work onsite at 3RD Avenue, Taguig City, Metro Manila.
  • Willing to work night shift schedule.
Benefits
  • Earn up to Php 60,000 per month.
  • HMO coverage with 1 dependent on first day.
  • Additional allowances and leave credits.
  • Excellent work culture.
  • Supplemental Pay: 13th month salary and overtime pay.

Job Types: Full-time, Permanent

Location: Makati City / Taguig City, Metro Manila

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

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