Experienced Medical Coders will be responsible for applying clinical knowledge to review evidentiary documentation from medical records and to use exceptional communication skills internally and externally. Therefore this position requires the ability to perform medical record review, diagnostic coding, abstraction of pharmaceutical studies, performing member outreach calls, and other duties as assigned.in the Manila site.
Responsibilities: Clinical Abstraction assignments may include work from all lines of Company business (e.g., diagnostic auditing, HEDIS review, drug safety/efficacy studies). Each assignment will have specific requirements and time-lines. Diagnostic Coding: Clinical Readers review assigned medical records and apply appropriate diagnostic codes and modifiers according to Generally Accepted Medical Coding Guidelines, ICD-10-CM Guidelines and CMS Correct Coding Initiatives, coding guidelines approved by CMS, and all rules, regulations and guidelines promulgated by CMS and applicable to contractors and subcontractors of CMS-approved sponsors (collectively “Standards”), all as reasonably interpreted by the Company. HEDIS Reviews: Clinical Readers review assigned medical records and document measure specific clinical data according to NCQA technical specifications for hybrid medical records reviews. Health Outcomes Studies: Clinical Readers review assigned medical records and document relevant clinical data according to stated study objectives. Other specific details of the job will be made known to the employee by their immediate supervisor which may be in varying scope dependently on prevailing project undertakings. What's in it for you? Competitive Compensation and Benefits package Private HMO Coverage with coverage of up to 2 dependents* Group Life Insurance Flexible Medical Reimbursement** Performance Bonus and allowances** Up to 25** Paid Time Off days in a year You will be working for Change Healthcare Philippines, Inc. Change Healthcare is headquartered in Nashville, Tennessee, USA. The company provides healthcare consumer engagement and cost transparency tools to health plans and large, self-insured employers across the United States.Change Healthcare is a catalyst for your value-based healthcare system. We are a healthcare technology company that offers software, analytics, network solutions, and technology-enabled services to help create a stronger, more collaborative healthcare system. We help deliver measurable value not only at the point of care, but also before, after, and in between care episodes.
At least 6 months of medical coding experience (e.g. Risk Adjustment, Inpatient/Outpatient, etc) is REQUIRED Active Medical Coding License (e.g. CPC - AAPC, CCS - AHIMA, etc.) is REQUIRED Candidate must possess at least a Bachelor's Degree, Professional License (Passed Board/Bar/Professional License Exam), Nursing or equivalent Proficient phone and computer skills, including MS Windows, MS Office, email and internet. Ability to learn additional applications as necessary Average English Communication skills, both oral and written Must be willing to work at Bonifacio Global City, Taguig