Risk Adjustment Coder (ICD-10-CM) – Graveyard Shift

UST; Taguig; On-site; PHP 300,000 - 500,000; Full time

Job summary

UST is seeking a Risk Adjustment HCC Coder to accurately review and assign ICD-10-CM codes for Medicare Advantage and ACA Risk Adjustment projects. The role emphasizes compliance with coding guidelines, documentation standards, quality metrics, and productivity targets.

Requirements include 6 months of medical coding experience (preferably HCC), an active coding certification (AAPC/AHIMA), and a college degree. Onsite work with possible remote arrangements is available.

Qualifications

• At least 6 months of Medical Coding experience, preferably in HCC Risk Adjustment.
• Active coding certification from AAPC or AHIMA.
• CRC certification preferred.

Responsibilities

• Assign ICD-10-CM diagnosis codes for Medicare Advantage and ACA Risk Adjustment projects.
• Review medical records and map diagnoses to Risk Adjustment/HCC models.
• Identify and document CDI opportunities for documentation discrepancies.
• Follow AHIMA ethics and coding standards.
• Adhere to official ICD-10-CM guidelines and regulatory requirements.
• Ensure HIPAA compliance and data confidentiality.
• Maintain quality standards of 97%+ accuracy and meet production targets.
• Stay updated on coding updates and reimbursement reporting requirements.
• Participate in ongoing training and quality improvement initiatives.

Skills

ICD-10-CM coding

Attention to detail

Analytical skills

Independent work

Microsoft Office

Coding software

HIPAA knowledge

AHIMA/AAPC certification knowledge

Education

College degree

Tools

Coding software

Microsoft Office

Job description

UST is seeking a Risk Adjustment HCC Coder to accurately review and assign ICD-10-CM codes for Medicare Advantage and ACA Risk Adjustment projects. The role emphasizes compliance with coding guidelines, documentation standards, quality metrics, and productivity targets.

Requirements include 6 months of medical coding experience (preferably HCC), an active coding certification (AAPC/AHIMA), and a college degree. Onsite work with possible remote arrangements is available.