Risk Adjustment Coder

4 days ago

Taguig, National Capital Region, Philippines UST Full time $40,000 - $60,000 per year
  • 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 up to date on diagnosis, coding guidelines and risk adjustment reimbursement reporting requirements
  • Other tasks as needed/required

Qualifications:

  • Medical allied course an advantage and Risk Adjustment experience can be considered in lieu of educational requirement
  • Medical coding experience an advantage
  • Active coding certification under AAPC or AHIMA or Certified Risk Adjustment Coding Certification (CRC)
  • Able to code using ICD-10 CM physical codebook or coding software
  • Strong clinical knowledge related to chronic illness diagnosis, treatment and management
  • Computer proficiency (MS Office and internet)
  • Amenable to nightshift, onsite work (may shift to hybrid after 6 months)

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