Risk Adjustment Coding Lead

11 hours ago


Philippines Shearwater Health Full time ₱900,000 - ₱1,200,000 per year

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 Lead

    2 weeks ago


    , , Philippines Visa Inc. Full time

    Key Responsibilities Develop and execute a comprehensive risk plan that is consistent with local market landscape, market priorities and global risk strategy. As a member of the in-market leadership team, serve as a trusted and strategic advisor to the Country Manager on all risk issues Execute both internal and external risk management programs Lead client...

  • No-Code Developer

    1 day ago


    , Oriental Mindoro, Philippines Buscojobs Full time

    Software Development Intern Job Title: Software Engineer Intern As a Software Engineer Intern, you will assist the development team in coding, testing, and maintaining software solutions. Under the guidance of experienced developers, you will contribute to various aspects of the software development life cycle, gaining hands-on experience in coding, testing,...

  • Risk Officer

    1 day ago


    , , Philippines Buscojobs Full time

    618 Risk Officer jobs in the Philippines Financial Risk Officer Posted today Job Description Job Description Responsible for analyzing financial data, market trends, and regulatory changes to identify and mitigate potential risks. Monitors credit, liquidity, and investment exposures, ensures compliance with financial regulations, and supports the...


  • , Metro Manila, Philippines Buscojobs Full time

    Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36,000 people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the world's most complex...


  • , Oriental Mindoro, Philippines Buscojobs Full time

    Overview Makati, National Capital Region Genfinity Philippines, Inc. – Posted today Job Description About the job Certified Medical Coder Our US-based client offers groundbreaking programs in high risk population management. Their mission is to bring leading-edge health care solutions to the people who need it most. They are expanding their services and...


  • , Metro Manila, Philippines GCash Full time

    Join to apply for the Lead, Financial Risk Management role at GCash Join to apply for the Lead, Financial Risk Management 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...

  • Healthcare Analyst

    2 weeks ago


    , Metro Manila, Philippines EasyHealth Full time

    Job Title: Healthcare Analyst (Remote) Type: Full-Time | Location: Remote (Philippines)Compensation: $1,800 USD/month Position Summary: We are seeking a detail-oriented and analytical Healthcare Analyst to join our team remotely. This role focuses on supporting clinical and coding operations through accurate data analysis, specifically involving...


  • , Metro Manila, Philippines GCash Full time

    Join 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...

  • Risk Officer

    1 day ago


    , Metro Manila, Philippines Buscojobs Full time

    618 Risk Officer jobs in the Philippines Find Your Dream Remote Job in 3 Steps: Register, Browse Curated Jobs & Apply to Get Hired. Financial Risk Officer Posted today Job Description Job Description Responsible for analyzing financial data, market trends, and regulatory changes to identify and mitigate potential risks. Monitors credit, liquidity, and...


  • , Metro Manila, Philippines GCash Full time

    Overview 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...