Risk Adjustment Coding Lead
1 week ago
Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careers
Our Clinicians & Associates advocates for better patient care while enjoying these benefits:
- HMO on Day 1 with 2 Dependents upon regularization.
- Group Life Insurance
- Highly Competitive Salary
- Complexity Allowance
- Annual Salary Increase
- Quarterly Performance Bonus
- Service Incentive Leave (SIL) with Leave Conversion
- Work-Life Integration
- Advance Technology for Medical Coding
- Certificate Renewal Coverage (*)
- Get Visa Sponsorship & Work Abroad (*)
*Terms and Conditions Apply
The Risk Adjustment Medical Coding Team Lead role assists and provides suggestive improvements and opportunities under the Risk Adjustment coding program.
Who we look for:
Required Certification: PHRN, CPC/CRC
Minimum 3 years in RA Coding
At least 1 year in coding quality role
At least 2 years in the hospital setting
Course Graduated: BS in Nursing
Desired:
Good communication skills and analytical skills
Strict focus on coding, education, and quality assurance
Strong experience in roles that intersect both technology and operations (previous experience in Medicare Risk Adjustment is a required)
Proactively defines and identifies most complex problems that impact management and direction of the business
Full management responsibilities including planning and scheduling work; establishing standards; interpreting, developing, and applying
policies; leading/collaborating for process-improvement projects; planning for future needs of operations which may or may not include
resource utilization, financial management, etc.
Voice Capable (B2 and above)
Negotiation and influential skills for internal and external high-level contacts
#SWHL
Job Type: Full-time
Benefits:
- Health insurance
- Life insurance
Work Location: Remote
-
Risk Portfolio Lead
2 weeks ago
, , Philippines Michael Page Full timeAbout Our Client This role is with a large organization in the financial services industry known for its innovative approach to banking and technology. The company offers a stable yet forward-thinking environment, with a commitment to excellence in its operations and services. Job Description Analyze structured and unstructured data to uncover trends, risks,...
-
IT Risk Management Lead
1 week ago
, Metro Manila, Philippines GCash Full timeJoin to apply for the IT Risk Management Lead role at GCash Join to apply for the IT Risk Management Lead role at GCash Get AI-powered advice on this job and more exclusive features. Do you want to take the first step in making Filipinos’ lives better everyday? Here in GCash we want to stay at the forefront of the FinTech industry by creating innovative,...
-
Lead, Project Risk Management
1 week ago
, Metro Manila, Philippines GCash Full timeOverview Lead, Project Risk Management role at GCash ; responsible for managing the project risk assessment process within the Project Risk Management vertical, governing risk recommendations, coordinating with key stakeholders, and ensuring readiness and regulatory compliance. Responsibilities Conducts and manages the project risk assessment process for the...
-
Quality, Risk
4 days ago
Philippines Empire Rocket Full time ₱660,000 - ₱900,000 per yearPosition Overview:Maintain audit‐ready operations at all times. Policies, service agreements, documentation and evidence aligned to NDIS Practice Standards, My Aged Care requirements, and Australian Work Health & Safety (WHS) legislation, so an auditor can "pull any file, any day" and find everything in order. Maintain an ISO‐aligned WHSmanagement system...
-
Low-Code Developer
4 days ago
Philippines Agent Full time ₱360,000 - ₱600,000 per yearLow-Code Developer Platform) Job Title: Low-Code Developer Platform)Salary: $2000 to $3000Location: Remote LATAM/ Philippines (Preferred time zones: Eastern time zone) Our Client Our client is a key supplier of metal-bending machinery and automated equipment to the sheet metal industry, serving a diverse client base with highly customized solutions....
-
Tech Customer Spt Coordinator I
3 weeks ago
, , Philippines LexisNexis Risk Solutions Full time.**Job Description**The Technical Support Specialist is customer facing and dedicated to providing product services and support for our global user base, partner network, and internal staff. You will provide application expertise and assistance in post-sales engagements to drive new and renewing business for all users, focusing on delivering customer...
-
Third Party Security Risk Lead
1 week ago
, Metro Manila, Philippines GCash Full timeJoin to apply for the Third Party Security Risk Lead role at GCash 2 weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Do you want to take the first step in making Filipinos’ lives better every day? Here at GCash, we aim to stay at the forefront of the FinTech industry by creating innovative,...
-
Credit Risk Portfolio Manager, SVP
6 days ago
, , Philippines Citibank (Switzerland) AG Full time## For additional information, please review .Whether you’re at the start of your career or looking to discover your next adventure, your story begins here. At **Citi**, you’ll have the opportunity to expand your skills and make a difference at one of the world’s most global banks. We’re fully committed to supporting your growth and development from...
-
Director of Risk Management
6 days ago
, , Philippines Mocasa - Pay Later Anywhere Full timeOverview HR Senior Officer at Mocasa - Pay Later Anywhere. We are seeking an expert to lead risk management for our salary loan and early salary advance platform. You will be responsible for establishing comprehensive risk frameworks, managing enterprise client onboarding, and developing credit assessment policies for our B2B2C fintech business....
-
Risk Manager
2 weeks ago
, Metro Manila, Philippines Country Funders Finance Corporation Full timeJob Summary: The Risk Manager will be responsible for overseeing the organization’s risk management framework with a primary focus on credit risk. This role involves identifying, assessing, monitoring, and mitigating potential risks that may impact the company’s financial performance and strategic objectives. The Risk Manager will lead the development...