Risk Adjustment and HCC Coding Professional

5 days ago


Quezon City, National Capital Region, Philippines R1 RCM Full time
Role Summary:

We are seeking a Risk Adjustment and HCC Coding Professional to join our team at R1 RCM. As a key member of our team, you will be responsible for ensuring the accuracy and quality of medical coding practices.

The ideal candidate will have experience in risk adjustment coding and a strong understanding of ICD-10 CM codes and guidelines.

Key Responsibilities:
  • Audit outpatient charts to validate ICD 10 diagnosis coding on qualifying HCCs
  • Utilize industry-recognized references to support findings
  • Develop and implement coding protocols to ensure compliance with regulatory requirements
Requirements:
  • Bachelor's Degree: Med Allied Course or Non-Healthcare Course
  • Successful completion of a Medical Coding Certification (CRC/CPC/CIC/CCS/COC)
  • At least 1 year and 6 months of HCC/Risk Adjustment Experience
  • Strong knowledge of anatomy, physiology, and medical terminology
  • Strong familiarity with using EMR/EHR systems
  • Familiarity with ICD-10 CM codes and ICD10 Official Coding Guidelines


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