Risk Adjustment Coder – Quality Analyst (Work from home)

  • Salary ₱40,000 - ₱60,000 / Monthly
  • Shift Full Time
  • Job Qualifications Bachelors/ Degree
  • Job experience 1 Year

Job Description

Job Highlights

  • Pioneer Team
  • Employee Benefits on day 1
  • We will provide your work equipment (Desktop/Laptop)

Job Description

Essential Functions
● Subject matter expert and resource to internal and external stakeholders
● Participates in Product Design meetings and assists with data requirements and business requirements
● Reviews and audits client’s coding practices
● Assist with the development of reports and projects, including documenting methodology, designing reporting, and making recommendations based upon data analysis
● Maintains up-to-date knowledge of regulatory changes impacting coding requirements
● Performs research for guidelines regarding coding practices
● All other duties as assigned.
● Provides analytical support to internal teams including the Marketing, Sales and Operational Teams
● Conduct research and perform root cause analysis as part of responsibility for analytics projects
● Perform data analysis, data cleansing, and data validation as part of product design and testing
● All other duties as assigned.
Willing to work on night shift
● BS/BA in health care administration, health informatics, mathematics, statistics, business or similar degree preferred or equivalent work experience.
● Preferred – Junior level (experience 1 – 4 years) working as a data analyst, preferably in a healthcare setting
● Knowledge and proficiency of Coding software and computer skills in Microsoft Office and products Word, Excel, PowerPoint, Access and EMR (Electronic Medical Record) systems
● Deep experience relative to RPM and CCM coding
● Deep experience in reviewing and auditing a client’s coding practice
● Experience with building reports, analyzing results, and communicating findings
● Preferred – Commercial payer reimbursement rates for RPM for each state
● Preferred – 3+ years experience working with healthcare data
● Extensive knowledge of medical terminology and ability to research coding related questions
● Preferred – High level coding expertise in IPPS and OPPS
● Understanding of key managed care concepts and terms including risk adjustment, pmpm, CPT, ICD 9/10 coding, HCPCS, DRG, etc…
● Experience with Managed Care Data, PBM’s, and Provider Data a plus
● Preferred – Understanding of data structure/integration and relational database design.
● Preferred – Experience working with integration of multiple data sources from databases/data warehouses
● Excellent oral and written English communication skills
● Ability to collaborate with partners and drive analytic projects end to end
● Ability to work independently in a fast-paced environment
● Ability to interact with management personnel
● Possess strong organizational skills and strong attention to detail and data accuracy

Company Overview

Our commitment to Diversity, Equality and Inclusion
At Infinit-O, we believe team members who show Malasakit can make the world a better place for future generations by embracing and respecting each other’s differences and preferences. Each of us can contribute to the solution — we all have a role to play. We are committed to creating a diverse, safe and inclusive environment and are proud to be an equal opportunity employer. Our culture is the result of our PRIDE values, our behaviors, our vulnerabilities, our curiosity, our ability to collaborate, and the ways that we courageously share our perspectives and encourage others to do the same.
About Infinit-O
Infinit-O is a global solutions provider company, incorporated in 2005 in the Philippines, that provides value-based services to small and medium businesses across the globe.
We serve a number of industries where we have developed deep domain expertise including healthcare, finance & accounting, technology, and research & data management solutions.
Our goal is to create long lasting partnerships with our clients; rendering a strong combination of business consultancy, process optimization, and outsourced solutions; all utilizing the latest technology to provide excellent value for our clients.
We seek to provide our clients peace of mind and pride ourselves on open, trusting relationships. We have a performance-based culture, knowing the commitments we make to our clients are critical to their business success. We take quality seriously as evidenced by our ISO 9001 and ISO 27001 certifications and Six Sigma dedicated solutions team. We constantly strive to delight our clients as seen through our Net Promoter Scores, which are well above industry averages.
Ready to grow? Think Infinit-O.
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