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Lvluptalentsolutions logo

Risk Adjustment Medical Coder Team Leader

Lvluptalentsolutions
Posted 9 hours ago
🇵🇭Philippines🏢Hybrid📁Healthcare/Clinical
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About Us At Level Up Talent Solutions, we believe great work starts with feeling supported, trusted, and valued. We are a people-focused talent company that connects skilled professionals with meaningful long-term opportunities. Our goal is to create an environment where you can do your best work, continue growing, and feel confident in the role you play within a team. When you join Level Up Talent Solutions , you are not just filling a position. You are becoming part of a community that values clear communication, consistency, and mutual respect. We work closely with you to understand your strengths, your experience, and the type of work environment where you can thrive. We support our talents through structured onboarding, ongoing guidance, and realistic expectations. You will always know what success looks like and who to turn to when you need support. We believe that when talents feel aligned and empowered, everyone succeeds. At Level Up Talent Solutions, growth is not only about skills. It is about confidence, stability, and building a career you can be proud of. We are here to help you level up. Job Description Work Set-up/Location: Temporary WFH; with onsite reporting as needed at the nearest Shearwater site in any of the following locations: Cebu, Manila, Pampanga, or Davao Required License/Credentials: PHRN, CPC certification with Risk Adjustment Coding background Account Type: Non-Voice Job Overview Level Up Talent Solutions is looking for a Lean-Pro Risk Adjustment Medical Coder Team Leader to oversee and support coding operations for a non-voice healthcare account. This role is responsible for guiding Risk Adjustment Coding work, supporting coding accuracy, monitoring quality and productivity, and helping coders apply documentation and coding standards consistently. The ideal candidate is a PHRN with CPC certification, Risk Adjustment Coding experience, and preferably SME, team lead, or people management exposure in a healthcare coding environment. Responsibilities Lead or support a team handling Risk Adjustment Coding tasks Review medical records and documentation for accurate risk adjustment coding Ensure coding outputs meet quality, compliance, and client-specific requirements Support coding audits, error analysis, and quality improvement activities Provide guidance to coders on coding standards, documentation gaps, and process questions Track team productivity, accuracy, and performance trends Coordinate with quality, operations, and leadership teams on coding performance Maintain accurate coding records, reports, and process documentation Requirements PHRN license CPC certification with Risk Adjustment Coding background At least 2 to 3 years of Risk Adjustment Coding experience Strong knowledge of diagnosis coding, documentation review, and healthcare coding standards Preferably with SME, team lead, or people management experience Strong attention to detail, analytical ability, and documentation skills Able to work in a non-voice healthcare coding environment Nice to Have CRC or additional Risk Adjustment-related certification Experience leading coding calibration, audits, or quality reviews Background in U.S. healthcare, payer, or clinical process outsourcing accounts

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