Medical Coders
TapTalent.ai
Date: 2 weeks ago
City: Taguig
Contract type: Full time
Role: Medical Coder with Risk Management experience
Key Responsibilities:
Contract length: 4 months Non-renewable
Hybrid: 2 days onsite and 3 days WFH
Shift: Midshift and Nightshift
Location: Taguig City
Key Responsibilities:
- Accurately assign diagnosis codes following the Official ICD-10-CM Guidelines for Coding and Reporting. This includes coding for conditions relevant to the Center for Medicare & Medicaid Services Hierarchical Condition Categories (CMS-HCC), covering the year(s) of service under review.
- Conduct thorough chart reviews by leveraging computer-assisted coding tools to assess, interpret, and apply appropriate coding principles. This ensures valid diagnosis codes are supported by documented evidence in the medical record, all done on the same day of service.
- Demonstrate a comprehensive understanding of CMS-HCC guidelines to ensure the medical records align with standards, including but not limited to signature requirements, medical encounter types, and places of service.
- Exhibit advanced knowledge of medical terminology, anatomy, and physiology to accurately assign diagnosis codes and capture supporting information from the medical record.
- Effectively manage the quality and productivity of individual work, ensuring goals are met or exceeded.
- Perform necessary administrative duties as directed by the Team Lead/Operations Lead/Quality Lead.
- Consult with the Team Lead/Operations Manager or Subject Matter Expert (SME) in Coding as necessary to ensure accuracy and compliance.
- License/Certification
- Must hold and maintain an active certification as a Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) through the American Academy of Professional Coders (AAPC).
- Alternatively, a Certified Coding Specialist (CCS) and/or Certified Coding Specialist Physician-based (CCS-P) through the American Health Information Management Association (AHIMA) is acceptable.
- Associate Degree or equivalent HCC coding experience.
- Proficient in computer use, including MS Windows, MS Office, and internet-based tools.
- Proficient in the use of official ICD-10-CM coding books or encoder software, corresponding to the dates of service being reviewed.
- Demonstrates the ability to assign diagnosis codes accurately following the official guidelines and section/chapter level instructions.
- Ability to apply ICD-10-CM outpatient diagnosis coding guidelines.
- Knowledge of Hierarchical Condition Code (HCC) concepts.
- Familiarity with HIPAA regulations, ensuring the protection of privacy, security, and confidentiality of medical records.
- Understanding of the AMA format and CMS HCC Risk Adjustment coding, along with validation requirements.
- EMR/EHR experience preferred.
Contract length: 4 months Non-renewable
Hybrid: 2 days onsite and 3 days WFH
Shift: Midshift and Nightshift
Location: Taguig City
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