Medical CoderSystem Soft Technologies

Responsibilities: The Risk Adjustment Coder will serve as a coding resource for internal departments within Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation). Coders will be responsible for coding patient charts to capture hierarchical chronic conditions and assigning appropriate diagnosis codes from medical records within guidelines established by 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. Quality standard is averaging 95% on monthly quality audit scores Production expectations are 4 charts per hour on average If Offshore: Must be able to go onsite to the office in Manilla, Philippines. Must Haves: Must have an active coding certification and 0-3 years of coding experience: Full list of accepted certs (these need to be verified on the AHIMA/AAPC website before submitting - verification websites linked below) AHIMA (Verify at My AHIMA) CCS (Certified Coding Specialist) AAPC (Verify at AAPC Credential Verification, CPC Certification Verification) CPC (Certified Professional Coder) CPC-A (Certified Professional Coder Apprentice) CRC (Certified Risk Adjustment Coder) CCA (Certified Coding Associate) HCC/Risk Adjustment Coding experience ICD-10 proficiency/certification Must be able to commit to working 40+ hours per week and 10 hours overtime weekly, no part time jobs allowed Ability to commute to the Manilla, Philippines office if Offshore Plusses: Experience working in a production driven environment CPT Coding experience National RAD-V/HEDIS abstraction experience Clinical Care or Managed Care experience
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Taguig City, Metro Manila
Permanent
Part-time