quality and risk adjustment Analyst (nurse)Medspecialized, Inc.

MedSpecialized, Inc. is looking for a Quality and Risk Adjustment Analyst!
General Description: The Quality and Risk Adjustment Analyst provides expertise and insights into quality performance that will inform quality improvement strategy and resource investment to improve quality performance.
Work Schedule and Arrangement: Night shift, Office-based Setup
Office Location: 8th floor Skyrise 4B Building, IT Park, Lahug, Cebu City, Cebu
Responsibilities:
Collaborate extensively with MD/NP, and entire interdisciplinary team to improve quality and completeness of documentation of care provided and coded
Assist in the collection and analysis of risk adjustment data in-order to identify documentation, coding trends and opportunities
Audit medical documentation for accuracy of coding, conflicting or incomplete data.
Provide feedback to team, providers and external/internal business partners of audit findings and make recommendations as necessary.
Keeps current with changes in coding guidelines, compliance, and other relevant regulatory updates
Participate in the development and coordination of education and training that focuses on Risk Adjustment coding and documentation opportunities utilizing a variety of methods to deliver content, such as direct provider collaboration, dashboard and reporting tools, teleconferences and webinars.
Collaborate with team members to achieve department objectives and ensure internal risk adjustment compliance and standards are maintained
Assume responsibility for professional development by participating in workshops, conferences and/ or in-services.
Assist with coding chart review projects and RADV audits
Keep self abreast with current EMR technology and provide recommendations for improvement of IMS
Requirements:
Must have a medical background
Bachelor's degree holder, preferably in the medical field
Confident, motivated and with excellent follow through skills
Have vast knowledge on different EHR platform
Previous experience with Clinical documentation analysis is preferred
Must score exceptionally high in our Aptitude exams
Must be willing to work in graveyard shift, weekends and render overtime
Salary and monetary benefits (in PHP):
Monthly salary of 21,000 - 27,000
New hire bonus of 5,000
Perks and other benefits:
Paid Training Period
All national Philippines and USA holidays are observed
Paid time off-public holidays, vacation, and personal time off
Robust and effective Government Benefits Administration
Lactation breaks (for breastfeeding moms)
Discounted optical services with our partner clinic
Free lunch/dinner and unlimited coffee and ice cream daily (for on site employees)
Free Health insurance with one (1) free dependent
Free Life insurance
Free Accident insurance
Relocation allowance for new hires (from Outside Cebu)
Company-sponsored outings
Interest-based employee clubs (DOTA, Basketball, Dance, Music, Photography, Yoga)
International travel opportunities (India and US office)
Our Recruitment Process:
1. Candidate Application Form
2. General Assessment
3. Initial Interview (Virtual)
4. Final Interview (Virtual)
5. Job Offer
6. Training
Disclaimer for salary ranges: Salary ranges may not be applicable to all. Depending on the level of experience, educational background and potential for growth seen during interviews, offers may go higher or lower.
PRO TIP: prepare for that interview and impress the hiring managers!
For more information about our company, visit our website:
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MedSpecialized, Inc

Cebu
₱21,000-27,000 per month
Permanent
Full-time