Risk Adjustment Medical Coder Team Leader

Zohorecruit; Manila, Cebu City, Davao City; Hybrid; PHP 670,000 - 1,004,000; Full time

Job summary

Level Up Talent Solutions is seeking a Lean-Pro Risk Adjustment Medical Coder Team Leader to oversee and support a non-voice coding operation in the Philippines. This role focuses on guiding risk adjustment coding work, improving accuracy, and maintaining compliance.

The ideal candidate holds a PHRN license with CPC and has 2–3 years of Risk Adjustment Coding experience, with SME or team lead exposure preferred in a healthcare coding environment.

Qualifications

• PHRN license and CPC with Risk Adjustment background are required.
• 2–3 years of Risk Adjustment Coding experience.
• Experience as SME, team lead or people management preferred.
• Ability to work in a non-voice healthcare coding environment.

Responsibilities

• Lead or support a Risk Adjustment Coding team.
• Review records for accurate risk adjustment coding.
• Ensure outputs meet quality, compliance, and client requirements.
• Support coding audits, error analysis, and QA activities.
• Guide coders on standards, gaps, and processes.
• Track productivity, accuracy, and performance trends.
• Coordinate with quality, operations, and leadership teams.
• Maintain coding records, reports, and process documentation.

Skills

Attention to detail

Analytical skills

Documentation skills

Education

PHRN license

CPC certification with Risk Adjustment background

Job description

Risk Adjustment Medical Coder Team Leader

Manila, Pampanga, Cebu, Davao, Philippines

At Level Up Talent Solutions, we believe great work starts with feeling supported, trusted, and valued.

We are a people-focused talent company that connects skilled professionals with meaningful long-term opportunities. Our goal is to create an environment where you can do your best work, continue growing, and feel confident in the role you play within a team.

When you join Level Up Talent Solutions , you are not just filling a position. You are becoming part of a community that values clear communication, consistency, and mutual respect. We work closely with you to understand your strengths, your experience, and the type of work environment where you can thrive.

We support our talents through structured onboarding, ongoing guidance, and realistic expectations. You will always know what success looks like and who to turn to when you need support. We believe that when talents feel aligned and empowered, everyone succeeds.

At Level Up Talent Solutions, growth is not only about skills. It is about confidence, stability, and building a career you can be proud of.

We are here to help you level up.

Job Description

Work Set-up/Location: Temporary WFH; with onsite reporting as needed at the nearest Shearwater site in any of the following locations: Cebu, Manila, Pampanga, or Davao

Required License/Credentials: PHRN, CPC certification with Risk Adjustment Coding background

Account Type: Non-Voice

Job Overview

Level Up Talent Solutions is looking for a Lean-Pro Risk Adjustment Medical Coder Team Leader to oversee and support coding operations for a non-voice healthcare account.

This role is responsible for guiding Risk Adjustment Coding work, supporting coding accuracy, monitoring quality and productivity, and helping coders apply documentation and coding standards consistently.

The ideal candidate is a PHRN with CPC certification, Risk Adjustment Coding experience, and preferably SME, team lead, or people management exposure in a healthcare coding environment.

Responsibilities

• Lead or support a team handling Risk Adjustment Coding tasks
• Review medical records and documentation for accurate risk adjustment coding
• Ensure coding outputs meet quality, compliance, and client-specific requirements
• Support coding audits, error analysis, and quality improvement activities
• Provide guidance to coders on coding standards, documentation gaps, and process questions
• Track team productivity, accuracy, and performance trends
• Coordinate with quality, operations, and leadership teams on coding performance
• Maintain accurate coding records, reports, and process documentation

Requirements

• PHRN license
• CPC certification with Risk Adjustment Coding background
• At least 2 to 3 years of Risk Adjustment Coding experience
• Strong knowledge of diagnosis coding, documentation review, and healthcare coding standards
• Preferably with SME, team lead, or people management experience
• Strong attention to detail, analytical ability, and documentation skills
• Able to work in a non-voice healthcare coding environment

Nice to Have

• CRC or additional Risk Adjustment-related certification
• Experience leading coding calibration, audits, or quality reviews
• Background in U.S. healthcare, payer, or clinical process outsourcing accounts