Risk Adjustment Medical Coder

Stark Asia Solutions Inc.

Taguig

On-site

PHP 446,400 - 669,600

Full time

14 days+

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Benefits offered by this job

Performance Bonus
Incentives
Health Insurance (HMO)

Job summary

A medical solutions provider is hiring in Taguig. The position involves reviewing and analyzing medical records for proper coding and resolving discrepancies. Candidates must have a valid PHRN license and at least 1 year of Risk Adjustment experience. This full-time role offers on-site work and includes performance bonuses and health insurance.

Qualifications

  • 1 year of Risk Adjustment experience in a clinical/BPO/CPO setup.
  • Must have a valid PHRN license.
  • Holding a CPC or CRC license is required.

Responsibilities

  • Review and analyze medical records for proper coding.
  • Identify and resolve discrepancies in coding.
  • Collaborate with healthcare providers to clarify documentation.
  • Utilize risk adjustment models for coding accuracy.
  • Maintain knowledge of coding guidelines and regulations.

Skills

Medical coding analysis
Collaboration
Detail-oriented

Education

PHRN license
CPC or CRC license

Job description

On-site - Taguig 1-3 Yrs Exp Bachelor Full-time

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Job Description
Employee Recognition and Rewards

Performance Bonus, Incentives

Government Mandated Benefits
Insurance Health & Wellness

HMO

Work-Life Balance

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Description
  • Review and analyze medical records to ensure proper coding of diagnoses and procedures.
  • Identify and resolve discrepancies in coding and documentation to adhere to compliance standards.
  • Collaborate with healthcare providers to clarify ambiguous documentation.
  • Utilize risk adjustment models to enhance coding accuracy and patient care improvement.
  • Maintain up-to-date knowledge of coding guidelines and regulations.
  • Non-Voice Account

Qualifications:

  • Must have a valid PHRN license
  • With CPC or CRC license
  • At least 1 year Risk Adjustment (RA) experience in clinical / BPO / CPO setup

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