Hierarchical Condition Category Coders

Hierarchical condition category (HCC) coding is a risk-adjustment model originally designed to estimate future health care costs for patients. The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models.- Review medical records and decipher if they are accurate and complete, accurate, and in support of patient risk adjustment score accuracy.- Educate providers and their staff in Medicare coding guidelines, with a special focus on revenue enhancement opportunities.- Develop plans and materials that support the educational and training needs of the medical practice, by collaborating with internal departments.- Oversee medical records and correct incomplete or incorrect codes for both active and previous conditions.- Review the medication list to verify if there is a correlating condition or if an active condition is being treated with medication.- Ascertain that all specialist and hospital consults and lab, radiology, and pathology reports are properly reviewed.- Audit documentation including confirming each condition or screening that is marked as assessed.- Communicate with providers to ensure that correct codes are chosen and add required updates.- Provide coding and guideline education to all coders and providers.- Perform chart reviews, aimed at identifying missed diagnoses in all applicable healthcare settings.- Ascertain that coding efficiency and accuracy are improved by performing independent audits of physician and hospital records.- Develop tools and metrics to ensure that the accuracy and completeness of coding and documentation are improved.**Salary**: Php21,000.00 - Php30,000.00 per month**Benefits**:- Work from homeSchedule:- 8 hour shiftSupplemental pay types:- 13th month salaryAbility to commute/relocate:- Iloilo City, Probinsya sang Iloilo: Reliably commute or willing to relocate with an employer-provided relocation package (required)**Experience**:- Medical Coding: 1 year (preferred)