Risk Adjustment Medical Coder

Capacita Human Resource Management Consultancy; Philippines; On-site; PHP 240,000 - 480,000; Full time

Benefits offered by this job

HMO

Government benefits

Job summary

Capacita Human Resource Management Consultancy is seeking a Risk Adjustment Medical Coder for onsite work in the Philippines. The role focuses on reviewing medical records and assigning ICD-10-CM codes to support risk adjustment models and proper reimbursement.

The candidate must have a PHRN, CPC or CRC certification, and at least 1 year of risk adjustment coding experience, with a solid understanding of HCC coding guidelines.

Qualifications

• PHRN required and CPC/CRC certification preferred.
• Strong knowledge of Risk Adjustment / HCC coding.
• At least 1 year risk adjustment coding experience.
• Ability to assign accurate ICD-10-CM codes for risk adjustment.

Responsibilities

• Assign accurate ICD-10-CM codes for risk adjustment.
• Review patient records for completeness and accuracy.
• Ensure compliance with risk adjustment guidelines (HCC coding).
• Maintain productivity and quality standards.
• Participate in audits and quality reviews.

Skills

Risk adjustment coding

Education

PHRN

CPC/CRC certification

Job description

Urgent Hiring: Risk Adjustment Medical Coder

Job Summary

The Risk Adjustment Medical Coder is responsible for reviewing medical records and assigning accurate codes to support risk adjustment models and ensure proper reimbursement.

Key Responsibilities

• Assign accurate ICD-10-CM codes for risk adjustment

• Review patient records for completeness and accuracy

• Ensure compliance with risk adjustment guidelines (HCC coding)

• Maintain productivity and quality standards

• Participate in audits and quality reviews

Qualifications

• PHRN required

• Certified (CPC or CRC)

• Strong knowledge of Risk Adjustment / HCC coding

Experience

• At least 1 year risk adjustment coding experience

Work Details

• Shift:

  • Training: Night Shift

  • Production: Day Shift

• Work Setup: Onsite

• Start Date: ASAP

• Location: Nationwide

Benefits

• HMO + government benefits