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RA Coder with Ph RN License - for Pooling

2 to 4 Years
With Business Certificates
Established in 1973
1001-5000 Employees
35th Floor, Seven/NEO Building 5th Ave, E-Square Crescent Park West Bonifacio Global City, Fort Bonifacio, Taguig, Metro Manila
Total vacancies for this job title: Over 10
Posted On: July 19, 2021
Job ID: 384586


  • Assists and provides suggestive improvement(s) and opportunities under the risk adjustment and coding program
  • To accurately assign ICD codes for diagnosis and procedures for all levels of care, with specific experience in HCC coding
  • A key contributor and partner in the oversight of the coding operations for risk adjustment to ensure quality and productivity
  • Maintain and update internal coding guidelines
  • Assesses how the workflows affect related operations management, success measures, and identifies value-add opportunities
  • Conduct training sessions and job shadowing of vendor coding
  • Creating alignment between coding compliance and product development
  • Works closely with internal stakeholders on initiatives and/or opportunities
  • Must have an active PRC - Nursing License
  • with CPC and CRC Certification
  • Strict focus on coding, education and quality assurance
  • Strong experience in roles that intersect both technology and operations (previous experience in Medicare Risk Adjustment is a required)
  • Basic skills in MS Office and Windows based programs
  • Ability to perform effectively in a fast paced environment
  • Excellent verbal and written communication skills in English
  • Willing to work in BGC Taguig in shifting schedules
Only candidates with qualifications mentioned above will be contacted.
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1. Competitive compensation, credential-based allowance, performance-based rewards, HMO on Day-1, Group Life Insurance!
2. More Time with Family. Above-market & flexible leave days.
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4. Multiple Pathways to Career Advancement. Don't get stuck at a job with a low ceiling.
5. You'll Be Part of a U.S.-Based Global Healthcare Company
Join over 3000+ Clinicians who have trusted us with their careers, making us the largest employer of clinicians outside of hospitals! Come home to Shearwater CPO® - Home of Clinicians!