certified Medical CoderGenfinity

Be part of the growing team!
Our US-based client offers groundbreaking programs in high risk population management -- their mission is to bring leading-edge health care solutions to the people who need it most. They are continuously expanding their services, and now looking to add an experienced individual to their team!
The role of the Certified Medical Coder is to review and perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations,
federal regulations, internal policies, and internal procedures.
HCC Risk Adjustment Coders will be involved with activities of code abstraction for the following programs; including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation).
PRIMARY DUTIES & RESPONSIBILITIES
Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations using current ICD-10-CM materials, HCC risk models, and other pertinent materials.
Must demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience is a specific specialty deemed a critical business need by PopHealthCare Coding Leadership.
Meeting and/or exceeding designated productivity set by PopHealthCare Coding Leadership and coding accuracy rate of 95% Accuracy and 95% Completeness.
Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.
Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner.
Meet minimum productivity requirements as outlined by the project
Ensures adherence to PopHealthCare and Departmental Policies and Procedures.
Practice and adhere to the PHC chart Crew Mission Statement
Assist coding leadership by making recommendations for process improvements to further enhance coding quality goals and outcomes
Must be able to continuously work committed schedule in a remote (and secure) setting while maintain availability to attend any/all mandatory department meetings.
Responding timely to email and/or telephonic communications
Implementation/Execution: Able to organize and manage multiple priorities and/or projects by using appropriate methodologies, tools and applications. * Demonstrates flexibility and willingness to embrace change
Maintains strictest confidentiality. * Enhances professional growth and development through in-service meetings, educational programs, conferences, etc.
Handle other related duties as required or assigned
QUALIFICATIONS
Must be in good standing with either AAPC and/or AHIMA and hold an active CPC, CRC, CPC-P, CCS, CCS-P or
PCS with high degree of competence in this area plus 2 years prior work experience in the healthcare field
specifically related to coding is preferred. * Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease
processes, and pharmacology. * Understanding the ICD-10 coding and HCC (hierarchical condition category) coding.
ICD-10 Proficiency is required.
CPT coding experience is a plus
Excellent analytical, written and verbal communication skills, organizational, time management.
Amenable to work onsite (BGC) in a shifting schedule
Earn as much as 60,000!
Genfinity

Taguig City, Metro Manila
Permanent
Full-time