Senior BPM Associate

4 days ago

Taguig, National Capital Region, Philippines UST Full time $40,000 - $80,000 per year

8 Openings

Taguig

Role description
  • 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 current on diagnosis and coding guidelines and risk adjustment reimbursement reporting requirements
  • Other duties as assigned / needed

Qualifications:

  • At least 2+ year of medical coding experience (HCC Risk Adjustment)
  • Active coding certification under AAPC or AHIMA; Certified Risk Adjustment Coding (CRC) certification preferred
  • Able to code using ICD-10-CM physical codebook or coding software. Strong clinical knowledge related to chronic illness diagnosis, treatment, and management
  • Proficient in using computers, including MS Office

Additional Requirements:

Night shift is mandatory. This is a full-time, in-office role with 5 working days per week.

Skills

Medical Coding - Risk Adjustment,HCC,ICD,Computer Proficiency

About UST

UST is a global digital transformation solutions provider. For more than 20 years, UST has worked side by side with the world's best companies to make a real impact through transformation. Powered by technology, inspired by people and led by purpose, UST partners with their clients from design to operation. With deep domain expertise and a future-proof philosophy, UST embeds innovation and agility into their clients' organizations. With over 30,000 employees in 30 countries, UST builds for boundless impact—touching billions of lives in the process.

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