Medical Coder (Non Tech)

• Experience: Risk Adjustment Coding (Certification is not mandatory)
• Contract Duration: 4 months (possible extension depends on the project)
• Start Date: Earliest by first week of October
• Work Set Up: Hybrid (first 1-2 weeks will be full RTO for training, then will go hybrid)
• Location Uptown 3, BGC, Taguig | Max 2x a week RTO
• Shift Schedule: 1PM-10PM or 3PM-12MN

Skills:
•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
•Knowledge of and ability to apply ICD-10-CM outpatient diagnosis coding guidelines
•2-5 years risk adjustment coding experience

Preferred Skills/Experience:
•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
•Risk Adjustment Data Validation (RADV) experience preferred
•Code Auditing experience preferred
•5+ years risk adjustment coding experience preferred