19/09/2024
MEDICAL CODERS HIRING!
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
• 2 years risk adjustment coding experience
• 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
Working Conditions:
• Able and willing to work U.S. time and as needed, overtime hours (i.e., night shift)
• Cyclical work shift including work hours at night and weekends. Overtime and On-Call may be requested.
Role:
• Assigns diagnosis codes according to the Official ICD-10-CM Guidelines for Coding and Reports for conditions which map to the Center for Medicare & Medicaid Services’ Hierarchical Condition Categories (CMS-HCC) applicable for the year(s) of service being reviewed
• Conducts thorough review of charts by effectively using computer-assisted coding tools to review and interpret medical records, and applies in-depth knowledge of coding principles to assign valid diagnosis codes which are supported by evidence in the medical record on the same date of service
• Demonstrates knowledge of what constitutes a medical record acceptable for supporting CMS-HCCs, including signature guidelines, member identifiers, provider types, medical record encounter/visit types, and places of service
• Demonstrates advanced knowledge of medical terminology, anatomy and physiology as they pertain to assigning appropriate codes and identifying pertinent supporting information in the medical record
• Manages individual quality of work & productivity toward meeting or exceeding targets.
• Performs administrative tasks and work as directed by Team Lead/Operations Lead/Quality Lead.
• Consults Team Lead/Operations Manager and/or Coding SME timely and appropriately.
This is a seasonal engagement. Candidates must be amenable to work on a 4 month contract, hybrid work set up, Taguig office.
Email resume to [email protected]