Senior BPM Associate (Risk Adjustment Coder)

UST

Taguig City, Metro Manila
Permanent
Full-time

15 days ago

Job Description:

Assign appropriate ICD-10-CM codes, mapping to risk adjustment models for Medicare Advantage and ACA Commercial Projects
Assign Flag events and CDI for documentation discrepancies
Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines
Comply with HIPAA laws and regulations
Maintain quality (≥97%) and production standards
Remain current on diagnosis and coding guidelines and risk adjustment reimbursement reporting requirements
Other duties as assigned / needed

Qualifications:

At least 2+ year of medical coding experience (HCC Risk Adjustment)
Active coding certification under AAPC or AHIMA; Certified Risk Adjustment Coding (CRC) certification preferred
Able to code using ICD-10-CM physical codebook or coding software. Strong clinical knowledge related to chronic illness diagnosis, treatment, and management
Proficient in using computers, including MS Office

Additional Requirements:Night shift is mandatory. This is a full-time, in-office role with 5 working days per week.Skills:Medical Coding - Risk Adjustment,HCC,ICD,Computer ProficiencyAbout Company:UST is a global digital transformation solutions provider. For more than 20 years, UST has worked side by side with the world’s best companies to make a real impact through transformation. Powered by technology, inspired by people and led by purpose, UST partners with their clients from design to operation. With deep domain expertise and a future-proof philosophy, UST embeds innovation and agility into their clients’ organizations. With over 30,000 employees in 30 countries, UST builds for boundless impact—touching billions of lives in the process.

UST

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