Hcc Risk Adjustment Coder
4 months ago
ng guidelines and possess a strong understanding of medical terminology, anatomy, and physiology.
**Key Responsibilities**:
- Review medical records to identify all pertinent diagnoses and conditions, ensuring all HCC-relevant codes are captured.
- Accurately assign ICD-10-CM codes in compliance with coding guidelines and regulations.
- Ensure coding meets CMS (Centers for Medicare & Medicaid Services) and other regulatory agency requirements.
- Collaborate with healthcare providers to clarify diagnoses and obtain additional information as necessary.
- Participate in coding audits and quality assurance activities to ensure coding accuracy and compliance.
- Maintain up-to-date knowledge of coding guidelines, CMS regulations, and industry best practices.
- Utilize electronic health record (EHR) systems and coding software efficiently.
- Participate in ongoing coding education and professional development.
- Communicate effectively with the billing department to ensure accurate claims submission and follow-up on any coding-related denials or rejections.
**Qualifications**:
- High school diploma or equivalent; associate’s or bachelor’s degree in a related field preferred.
- Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar credential.
- Minimum of 2 years of experience in medical coding, with a focus on HCC coding.
- Strong understanding of ICD-10-CM coding guidelines and HCC coding practices.
- Familiarity with medical terminology, anatomy, and physiology.
- Proficient in using EHR systems and coding software.
- Excellent analytical and problem-solving skills.
- Strong attention to detail and accuracy.
- Effective communication and interpersonal skills.
- Ability to work independently and as part of a team.
**Job Types**: Full-time, Part-time, Permanent, Temporary, Freelance
Contract length: 6 months
Schedule:
- Day shift
- Evening shift
- Fixed shift
- Monday to Friday
- Morning shift
- Night shift
- Rotational shift
- Weekend availability
Supplemental Pay:
- Commission pay
- Overtime pay
- Performance bonus
- Shift allowance
- Yearly bonus
**Experience**:
- total work: 1 year (required)
- Medical Coding: 1 year (required)
License/Certification:
- CPC, CIC, COC or non certified (required)
Work Location: Hybrid remote in Hyderabad, Telangana
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