Risk Adjustment Coder
4 days ago
Responsibilities Assign appropriate ICD-10-CM codes, mapping to risk adjustment models for Medicare Advantage and ACA Commercial Projects. Assign Flag events and CDI for documentation discrepancies. Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines Comply with HIPAA laws and regulations Maintain quality (=>97%) and production standards Remain up to date on diagnosis, coding guidelines and risk adjustment reimbursement reporting requirements Other tasks as needed/required Qualifications Medical allied course an advantage and Risk Adjustment experience can be considered in lieu of educational requirement Medical coding experience an advantage Active coding certification under AAPC or AHIMA or Certified Risk Adjustment Coding Certification (CRC) Able to code using ICD-10 CM physical codebook or coding software Strong clinical knowledge related to chronic illness diagnosis, treatment and management Computer proficiency (MS Office and internet) Amenable to nightshift, onsite work (may shift to hybrid after 6 months) #J-18808-Ljbffr
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Rick Adjustment/HCC Coders
1 week ago
Taguig, Philippines Conifer Health Solutions Full timeRick Adjustment/HCC Coders - Certified Coders Conifer Global Business Center Inc. is hiring outpatient medical coders who are ready to advance their careers by training in inpatient medical coding through our Coding University. What's in it for you? We have a team of highly experienced and skilled professionals to help and provide you with comprehensive...
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Medical Coder
3 weeks ago
Taguig, Philippines HRTX Full timeWe are hiring a skilled Medical Coder responsible for reviewing clinical documentation and accurately assigning medical codes for diagnoses, procedures, and services. This role ensures correct billing practices and adherence to regulatory compliance standards. We are looking for: Inpatient Coder (with SOB) HCC/ Risk Adjustment Coder (with SOB) Same Day...
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Medical Coder
3 weeks ago
Taguig, Philippines HRTX Full timeWe are hiring a skilled Medical Coder responsible for reviewing clinical documentation and accurately assigning medical codes for diagnoses, procedures, and services. This role ensures correct billing practices and adherence to regulatory compliance standards. We are looking for: Inpatient Coder (with SOB)HCC/ Risk Adjustment Coder (with SOB)Same Day Surgery...
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Risk Adjustment Medical Coder
2 weeks ago
Taguig, Philippines R1 RCM Full timeQualifications Must be a graduate of a 4-year course Must have an active Medical Coding Certification (CRC/CPC/CIC/CCS/COC) With at least 18 months of HCC/Risk Adjustment Experience With experience in any EMR systems such as Epic, Cerner & Meditech Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our...
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AI-Risk Coding Associate
2 weeks ago
Taguig, Philippines GECO Asia Pte Ltd Full timeWe are seeking an experienced AI-Risk Coding Associate (Medical Coder) to join our growing healthcare technology team. In this role, you will be responsible for accurately assigning medical diagnosis codes and ensuring compliance with CMS-HCC guidelines using advanced AI-assisted coding tools. Key Responsibilities: Assign accurate diagnosis codes following...
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MEDICAL CODERS WITH SOB
3 weeks ago
Taguig, Philippines HRTX Full timeReview and analyze medical records to assign accurate codes (ICD-10-CM, CPT, HCPCS) based on documentation.Ensure coding quality and accuracy in accordance with official coding guidelines, payer policies, and organizational standards.Validate documentation for Risk Adjustment (RA) models, including HCC coding, by identifying and capturing chronic conditions...
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MEDICAL CODERS WITH SOB
3 weeks ago
Taguig, Philippines HRTX Full timeReview and analyze medical records to assign accurate codes (ICD-10-CM, CPT, HCPCS) based on documentation. Ensure coding quality and accuracy in accordance with official coding guidelines, payer policies, and organizational standards. Validate documentation for Risk Adjustment (RA) models, including HCC coding , by identifying and capturing chronic...
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Taguig, Philippines Shearwater Health Full timeLet your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careers! Physical Sites: Taguig, Cebu, and Pampanga Our Clinicians & Associates advocates for better patient care while enjoying these benefits: Work from Home! Getasmuchas5Kuponcompletion oftherecruitmentprocess HMO on Day 1 with 2 Dependents upon...
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Risk Adjustment Coding Lead
3 weeks ago
Taguig, Philippines Shearwater CPO® - Home of Clinicians Full time1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Note Sign in to access AI-powered advices Responsibilities • At least 1 year in coding quality role • At least 2 years in the hospital setting • Proactively defines and identifies most complex problems that impact management and direction of the...
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Quantitative Risk Officer
2 weeks ago
Taguig, Philippines RCBC Full timeJob Summary The Quantitative Risk Officer supports the Chief Sustainability Officer in tasks requiring quantitative skills and/or involving finance theory issues. These tasks are focused on model performance assessments, stress testing, and quantitative regulatory requirements that help ensure sound risk management monitoring and compliance with capital...