Medical Coding Specialist

21 hours ago


Hyderabad, Telangana, India beBeeHccCoding Full time ₹ 10,00,000 - ₹ 15,00,000

Job Title: HCC Coding Specialist

We are seeking a highly skilled HCC coding professional to join our team. This is an exciting opportunity to work with us and contribute your expertise in healthcare coding, compliance, and training.

Key Responsibilities:
  • HCC Coding & Compliance: Perform accurate HCC coding using ICD-10-CM guidelines in accordance with CMS regulations.
  • Review Medical Records: Review medical records to ensure appropriate capture of diagnoses impacting risk adjustment.
  • Conduct Quality Audits: Conduct quality audits to ensure compliance with industry standards, payer requirements, and internal policies.
Training & Mentorship:
  • Design and Deliver Training Programs: Design and deliver structured training programs for new joiners in HCC coding.
  • Mentor, Coach, and Evaluate Trainees: Mentor, coach, and evaluate trainees' progress with constructive feedback.
  • Provide Refresher Training Sessions: Provide refresher training sessions to keep the team updated on regulatory changes and best practices.
Collaboration & Process Improvement:
  • Work Closely with QA Teams: Work closely with QA teams, auditors, and compliance teams to improve accuracy and efficiency.
  • Identify Gaps in Trainee Performance: Identify gaps in trainee performance and implement improvement plans.
  • Contribute to SOPs and Training Manuals: Contribute to the development of standard operating procedures (SOPs) and training manuals.

Required Skills and Qualifications:

  • Bachelor's Degree in Life Sciences or Healthcare: Bachelor's degree in Life Sciences, Healthcare, or related field (preferred).
  • Experience in HCC Coding: 3–6 years of experience in HCC coding with strong knowledge of ICD-10-CM guidelines.
  • Certified Professional Coder: Certified Professional Coder (CPC), CRC, or equivalent certification is mandatory.
  • Experience in Training or Mentoring: Experience in training, mentoring, or leading junior coders is highly desirable.
  • Strong Analytical and Communication Skills: Strong analytical, communication, and presentation skills.
  • Detail-Oriented with Minimal Supervision: Detail-oriented with the ability to work under minimal supervision.
  • Knowledge of Compliance and Risk Adjustment: Knowledge of compliance, CMS regulations, and risk adjustment models.


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