Medical Coder

14 hours ago

Salem, India sarainfotech Full time

Shift timing : 06:30 PM to 03:30 AM Job Summary: We are seeking an experienced and detail-oriented Medical Coder - HCC (Hierarchical Condition Category) to join our dynamic healthcare team. The ideal candidate will have a strong background in HCC coding, with at least 3 years of relevant experience, and must be comfortable working night shifts. The role involves reviewing medical records and assigning accurate diagnosis codes to ensure compliance with CMS risk adjustment guidelines. Key Responsibilities: - Review and analyze medical records to assign accurate HCC/ICD-10-CM diagnosis codes - Ensure coding is in compliance with all CMS and organizational guidelines - Abstract and validate patient data to capture all applicable chronic conditions - Collaborate with providers and documentation specialists to clarify diagnoses - Meet coding productivity and quality benchmarks - Stay updated on industry regulations, payer policies, and coding changes - Maintain strict patient confidentiality and adhere to HIPAA regulations Required Qualifications: - Minimum 3 years of experience in HCC coding - Certification from AAPC or AHIMA (e.g., CPC, CRC, CCS, CCS-P) - Strong knowledge of ICD-10-CM coding guidelines and risk adjustment models - Proficient in using EMR/EHR systems and coding tools - Excellent analytical and communication skills - Ability to work independently with high accuracy - Willingness to work night shifts is mandatory Preferred Qualifications: - Experience with Medicare Advantage Plans and Risk Adjustment Programs - Familiarity with RADV audits and suspect conditions validation - Prior experience in remote coding environments Benefits: - Competitive salary & shift allowances - Health insurance and other benefits - Opportunities for career growth and upskilling - Supportive work environment

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