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  • Philippines NCR, Metro Manila, Mandaluyong, Philippines
  • 3 Years
  • Full-time
  • Negotiable
  • Bachelor's / College Degree
  • 2 Vacancies
Closing Date: December 23, 2021
Salary Details

Negotiable

Job Address

Taguig

Job Description

Skills and Requirements:

  • Should have active CPC License (active within 6 months). Okay even WITHOUT USRN/ PHRN license.
  • Should have atleast 1 year medical coding experience to be qualified for CL11. Okay with no work experience/1 year below/CL12 (willing to amend if any).
  • Ability to code using ICD-10 code book (without using an encoder).
  • Computer proficiency (including MS Windows, MS Office, and the internet)

Others:

  • Knowledge of HIPAA recognizing a commitment to privacy, security and confidentiality of all medical charts.
  • Strong clinical skills related to chronic illness diagnosis, treatment and management
  • Knowledge of HCC concepts and impact on Population Health Risk
  • Adjustment reimbursement initiatives.
  • 2 years claims operations and/or customer service (BPO or Non BPO, preferred BPO)

 

Responsibilities:

  • Abstracts, sequences and assigns diagnosis and procedure codes according to the Center for Medicare & Medicaid Services - Hierarchical Condition Categories (CMC - HCC), Department of Health and Human Services - Hierarchical Condition Categories (DHHS-HCC) and all CPT and ICD 9 & 10 guidelines.
  • Conducts thorough review of charts by assigning ICD codes, selecting the status and evidence for the Dx, and applying deletion reasons for Dx codes identified
  • Effectively uses computer assisted coding tools to review and interpret medical records and applies in-depth knowledge of coding principles to validate missing, incomplete or incorrect CPT and diagnosis codes
  • Demonstrates advanced knowledge of medical terminology, anatomy and physiology to identify all appropriate coding based on Centers for Medicare and Medicaid Services Hierarchical Condition Categories (CMS-HCC) and Department of Health and Human Services - Hierarchical Condition Categories (HHS-HCC) models.
  • 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 clinician and Team Lead/Operations Manager timely and appropriately

Interested and Qualified candidates should forward their resume and cover letter to stephen@gratitudephilippines.com, using the job title as the mail subject.

Job Requirements

CPC License, HIPAA, ICD - 10, Claims Operations, Customer Service

Job Type

Customer Service/BPO

Working Hours

12:00 AM to 12:00 AM



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