Senior Risk Adjustment Coding Specialist
1 month ago
About Quess Philippines Corporation
We are seeking a highly skilled and experienced Senior Risk Adjustment Coding Specialist to join our team.
Job Summary
The 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 with official guidelines and section/chapter level instructions.
Key Responsibilities
- Assign diagnosis codes using an official ICD-10-CM code book or Encoder software;
- Apply ICD-10-CM outpatient diagnosis coding guidelines;
- Maintain up-to-date knowledge of CMS HCC Risk Adjustment coding and data validation requirements;
- Work closely with the project team to ensure accurate and timely completion of coding tasks;
- Collaborate with other departments to resolve any coding-related issues.
Requirements
To be successful in this role, you will need:
- A minimum of 2-5 years of experience in risk adjustment coding;
- Strong computer skills, including proficiency in MS Windows, MS Office, and the internet;
- Familiarity with Hierarchical Condition Code concepts;
- Knowledge of HIPAA and commitment to privacy, security, and confidentiality of medical records and member information;
- EMR/EHR experience preferred.
What We Offer
As a valued member of our team, you can expect:
- A competitive salary of PHP 120,000 - PHP 180,000 per month (depending on experience);
- Ongoing training and professional development opportunities;
- A dynamic and supportive work environment;
- The chance to work on challenging and rewarding projects.
Please note that the salary range is estimated based on industry standards and location.
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