Dedicated Risk Adjustment Coder

1 month ago


Taguig, National Capital Region, Philippines GECO Philippines Inc. Full time

We 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 Role

As 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 conditions relevant to the Center for Medicare & Medicaid Services' Hierarchical Condition Categories (CMS-HCC), covering the year(s) of service under review.

You will 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.

Responsibilities
  • Audit medical records to ensure accurate and compliant diagnosis coding according to CMS-HCC guidelines.
  • Apply advanced knowledge of medical terminology, anatomy, and physiology to assign diagnosis codes and capture supporting information from the medical record.
  • Evaluate and apply official ICD-10-CM coding books or encoder software corresponding to the dates of service being reviewed.
  • Maintain up-to-date knowledge of industry developments, regulatory changes, and coding best practices.
Requirements
  • Hold 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.
  • Possess Associate Degree or equivalent HCC coding experience.
  • Proficient in computer use, including MS Windows, MS Office, and internet-based tools.
  • Familiarity with HIPAA regulations, ensuring the protection of privacy, security, and confidentiality of medical records.

Salary: PHP 40,000 - 60,000 per month (depending on qualifications and experience)



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