Risk Adjustment Process Trainer
Taguig, National Capital Region, Philippines
1d ago
source : Kalibrr, Inc.

Job Description

  • Assesses training / coaching needs on a project by project basis;
  • Develops training materials and facilitates training sessions;
  • Works with the designated team for system updates and readiness to accommodate project needs;
  • Remains current on medical coding and billing guidelines and auditing protocols;
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines;
  • Performs miscellaneous job-related duties as assigned;
  • Minimum Qualifications

  • Degree in Nursing with active nursing license preferred
  • Certification as either a CCS, CCS-P, CPC, CPC-H, CCC or CRN-C required
  • At least three years’ experience as a risk adjustment coder required;
  • Proven experience in project management;
  • Demonstrated effective leadership in managerial roles
  • Extensive knowledge of medical billing and payment methodologies, including coding guidelines for ICD-9 (demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements preferred);
  • Apply
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