Clinical Data Analyst and ICD-10 Expert

5 days ago


Quezon City, National Capital Region, Philippines R1 RCM Full time
Job Description:

R1 RCM is seeking a Clinical Data Analyst and ICD-10 Expert to join our team. The ideal candidate will have experience in clinical data analysis and a strong understanding of ICD-10 CM codes and guidelines.

The Clinical Data Analyst and ICD-10 Expert will be responsible for auditing outpatient charts to validate ICD 10 diagnosis coding on qualifying HCCs.

Key Responsibilities:
  • Audit outpatient charts to validate ICD 10 diagnosis coding on qualifying HCCs
  • Utilize industry-recognized references to support findings
  • Develop and implement data analytics tools to improve coding efficiency
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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