(ACTIVE) PHRN Risk Adjustment Medical Coder Team Leader_TWFH | Non-Voice

Gratitude Inc

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3 days ago

(ACTIVE) PHRN Risk Adjustment Medical Coder Team Leader_TWFH | Non-Voice

2-5 Year(s)

Cebu Central Visayas, Davao, Pampanga
(Base Location for WFH)

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Job Description

Key Skills

Quality assurance medical coding people Management Team Management PHRN ICD-10 Healthcare Experience CPC certification SME/ People Manager experience Risk Adjustment Coder

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Risk Adjustment Medical Coder – Team Leader (Non-Voice)

Job Summary

We are looking for an experienced Risk Adjustment Medical Coder – Team Leader to manage and support a team of medical coders while ensuring accurate and compliant risk adjustment coding. The role involves coding validation, quality monitoring, team guidance, and process adherence.

Key Responsibilities

Perform and oversee Risk Adjustment coding activities with high accuracy.
Review coded medical records and ensure compliance with coding guidelines.
Provide guidance, coaching, and support to team members.
Monitor team performance, productivity, quality, and SLA adherence.
Conduct coding validation and identify errors or improvement areas.
Act as an SME for Risk Adjustment coding-related queries.
Support process improvement and maintain coding quality standards.
Coordinate with relevant stakeholders regarding coding and process-related concerns.
Ensure adherence to company policies, client requirements, and compliance standards.

Qualifications

Minimum 2–3 years of Risk Adjustment Coding experience.
At least 1 year of SME / Team Lead / Supervisor / People Manager experience.
Must hold an active PHRN license.
Must hold an active CPC (RA Coder) certification.
Strong knowledge of Risk Adjustment coding guidelines and medical terminology.
Good analytical, communication, and team-management skills.

Work Details

Work Setup: Temporary Work From Home
Work Schedule: Shifting
Location: BGC Taguig, Cebu, Davao, or Clark, Pampanga
Start Date: ASAP

Recruitment Process

Validation
Talkpush Profile Creation
HR Interview
Hiring Manager Interview
Onboarding

Screening Questions

What is your current location and preferred work site?
Do you have an active PHRN license? Please provide the validity date.
Do you hold an active CPC (RA Coder) certification? Please provide the validity date.
How many years of Risk Adjustment Coding experience do you have?
How many years of Team Lead / Supervisor / People Manager / SME experience do you have?
What is your last drawn salary?
What are your salary expectations?
What is your notice period?

Role

Medical Specialist

Timings

Rotational Shifts (Contract To Hire)

Industry

Medical / Healthcare / Hospital

Work Mode

Work from Home

Process

Non-Voice

Functional Area

Medical Professional / Healthcare Practitioner / Technician

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