Hi everyone,
Greetings from NYGCI!!
We are hiring for AI-Risk Coding Associate role with one of our clients in Philippines.
Please share your resume at [Confidential Information] if you are interested.
Please find the below details for your reference.
Role:AI-Risk Coding Associate
Mode of Hiring: Contract
Work Location: Uptown Bonifacio 3 Taguig City
Mode Of Working:Hybrid - Maximum of 2 days RTO (Return to Office) per week.
- First 1-2 weeks: Full RTO for training
Work Schedule: Mid shift - 1:00 PM - 10:00 PM or 3:00 PM - 12:00 MN| 40 hours/week
Job Description
KEY RESPONSIBILITIES
AI-Risk Coding Associate
- 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.
Looking forward to your quick response
