
Senior Medical Coding Consultant
3 days ago
Position: HCC Coding Specialist & Trainer
About the Role:
We are seeking an experienced Coding Professional who excels in medical coding standards, training, and mentoring. The ideal candidate will have a blend of technical expertise, compliance knowledge, and strong communication skills.
Main Responsibilities:- Coding & Compliance:
- Perform accurate HCC coding using ICD-10-CM guidelines in accordance with CMS regulations.
- Review medical records to ensure proper capture of diagnoses impacting risk adjustment.
- Conduct quality audits to ensure compliance with industry standards, payer requirements, and internal policies.
- Training & Mentorship:
- Design and deliver structured training programs for new joiners in HCC coding.
- Prepare training materials, case studies, and coding scenarios to build strong foundational knowledge.
- Mentor, coach, and evaluate trainees' progress with constructive feedback.
- Provide refresher training sessions to keep the team updated on regulatory changes and best practices.
- Collaboration & Process Improvement:
- Work closely with QA teams, auditors, and compliance teams to improve accuracy and efficiency.
- Identify gaps in trainee performance and implement improvement plans.
- Contribute to the development of standard operating procedures (SOPs) and training manuals.
- Bachelor's degree in Life Sciences, Healthcare, or related field.
- 3–6 years of experience in HCC coding with strong knowledge of ICD-10-CM guidelines.
- Certified Professional Coder (CPC), CRC, or equivalent certification is mandatory.
- Experience in training, mentoring, or leading junior coders is highly desirable.
- Strong analytical, communication, and presentation skills.
- Detail-oriented with the ability to work under minimal supervision.
- Knowledge of compliance, CMS regulations, and risk adjustment models.
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