with 1-4 years of experience in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate should be detail-oriented, proficient in ICD-10-CM coding guidelines, and able to deliver high-quality coding with accuracy and compliance.
Responsibilities
Review and analyze clinical documentation to assign accurate
ICD-10-CM diagnosis codes
according to
HCC/Risk Adjustment
guidelines.
Ensure compliance with
CMS
,
ICD-10
, and organizational standards.
Perform medical chart abstraction, validation, and quality checks.
Maintain coding accuracy, productivity benchmarks, and client SLAs.
Work closely with QA teams to rectify errors and improve coding quality.
Stay updated with coding guideline changes, payer regulations, and compliance norms.
Handle non-voice coding assignments and documentation reviews.
Maintain confidentiality and follow HIPAA rules for handling patient information.
Skills & Qualifications
HCC certification mandatory
(e.g., CPC, CRC, CCS, CCS-P, AHIMA/AAPC equivalent).
1-4 years of hands-on experience in
HCC/Risk Adjustment medical coding
.
Strong understanding of ICD-10-CM coding guidelines.
Experience in reviewing physician notes, encounter data, and medical charts.
Ability to work independently with high accuracy and attention to detail.
Good understanding of risk adjustment models and mapping.
Strong analytical and documentation skills.
Job Types: Full-time, Permanent
Pay: ?25,000.00 - ?75,000.00 per month
Benefits:
Health insurance
Provident Fund
Work Location: In person
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