 
						HCC CODER
4 weeks ago
ob Title: HCC Coder    
 
Location:  Chennai    
 
Job Type: Full-time     
 
Job Summary:    
 
We are seeking a detail-oriented and knowledgeable   HCC Coder   with 1–2 years of experience to join our healthcare team. The successful candidate will  be responsible for  reviewing medical records and assigning  accurate  diagnosis codes to support risk adjustment and proper reimbursement  in accordance with  CMS HCC risk adjustment guidelines.    
 
Key Responsibilities:    
 
- Review and analyze medical records to assign accurate ICD-10-CM diagnosis codes in accordance with official coding guidelines and HCC risk adjustment models. 
 
- Ensure all coded data meets CMS, Medicare Advantage, and company compliance standards. 
 
- Identify missing or incomplete documentation and communicate with providers for clarification when needed. 
 
- Validate HCC codes and ensure risk-adjusted conditions are captured appropriately for each patient encounter. 
 
- Maintain confidentiality of all patient health information in compliance with HIPAA regulations. 
 
- Meet daily/weekly production and accuracy targets set by management. 
 
- Participate in audits, compliance reviews, and training updates. 
 
Qualifications:    
 
- 1–2 years of experience in medical coding, specifically in HCC/Risk Adjustment. 
 
- Certification required: CPC, CRC, CCS, or equivalent (AHIMA or AAPC credential). 
 
- Solid understanding of HCC coding principles and risk adjustment models (CMS-HCC, HHS-HCC, etc.). 
 
- Familiarity with electronic health records (EHR) and coding software/tools. 
 
- Strong knowledge of ICD-10-CM coding guidelines. 
 
- Excellent attention to detail, time management, and analytical skills. 
 
 
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