Medical Coder (Junior level)
Xurpas Enterprise
Date: 6 days ago
City: Taguig
Contract type: Full time
Job Highlights
1
Responsibilities
Additional Information
Career Level
Junior
Work Location
BGC, Taguig
Work Setup
Hybrid (2x a week onsite)
Job Type
Project Based
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- laptop to be provided
1
Responsibilities
- Assigns diagnosis codes according to the Official ICD-10-CM Guidelines for Coding and Reports for conditions which map to the Center for Medicare & Medicaid Services’ Hierarchical Condition Categories (CMS-HCC) applicable for the year(s) of service being reviewed
- Conducts thorough review of charts by effectively using computer-assisted coding tools to review and interpret medical records, and applies in-depth knowledge of coding principles to assign valid diagnosis codes which are supported by evidence in the medical record on the same date of service
- Demonstrates knowledge of what constitutes a medical record acceptable for supporting CMS-HCCs, including signature guidelines, member identifiers, provider types, medical record encounter/visit types, and places of service
- Demonstrates advanced knowledge of medical terminology, anatomy and physiology as they pertain to assigning appropriate codes and identifying pertinent supporting information in the medical record
- Manages individual quality of work & productivity toward meeting or exceeding targets.
- Performs administrative tasks and work as directed by Team Lead/Operations Lead/Quality Lead.
- Consults Team Lead/Operations Manager and/or Coding SME timely and appropriately.
- The ideal candidate must possess a Bachelor of Science in Nursing, Other Allied Health graduate, Associate Degree or equivalent HCC coding experience
- Must holds and maintain active Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) certification through the American Academy of Professional Coders OR Certified Coding Specialist (CCS) and/or Certified Coding Specialist – Physician based (CCS-P) through American Health Information Management Association (AHIMA)
- Must have 6months to 1 year of experience in risk adjustment coding
- Knowledge of Hierarchical Condition Code concepts
- Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical records and member information
- Knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements preferred
- EMR/EHR experience preferred
- Related outsourcing/vendor operations experience preferred
- Computer proficiency (including MS Windows, MS Office, and the internet)
- Ability to use an official ICD-10-CM code book or Encoder software which corresponds to the date(s) of service being reviewed to assign diagnosis codes appropriately and according to official guidelines and section/chapter level instructions
Additional Information
Career Level
Junior
Work Location
BGC, Taguig
Work Setup
Hybrid (2x a week onsite)
Job Type
Project Based
APPLY NOW
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