
Medical Coder
1 day ago
We are looking for experienced HCC Medical Coding Professionals to join our team as Team Leads, Subject Matter Experts (SMEs), and Trainers.
The ideal candidates will have in-depth knowledge of HCC Risk Adjustment coding, the CMS-HCC and Rx-HCC models, and strong leadership or mentoring experience.
Role & responsibilities
- Review and code medical records accurately based on CMS Risk Adjustment guidelines.
- Audit and monitor coding quality and compliance across the team.
- Guide, mentor, and train medical coders to ensure high accuracy and productivity.
- Conduct refresher and onboarding training sessions for new coders.
- Stay updated on CMS-HCC/Rx-HCC model changes, ICD-10 updates, and payer guidelines.
- Ensure coding compliance with HIPAA and AAPC/CDC standards.
- Collaborate with quality and operations teams to meet client SLAs.
- Provide performance feedback and process improvement inputs.
Preferred candidate profile
Experience:
Minimum 1 to 4 years of experience in HCC Medical Coding.
Prior experience as Team Lead, SME, or Trainer preferred.
Certifications: CPC / CRC / COC / CCS (Preferred, not mandatory).
Knowledge:
Excellent understanding of ICD-10-CM, CMS-HCC, and Rx-HCC models.
Strong grasp of Risk Adjustment, RAF scoring, and coding compliance.
Strong communication, analytical, and leadership skills.
- Ability to work under tight deadlines and deliver high-quality output.
Work Location
A3 RCM Healthcare Pvt Ltd - Begumpet, Hyderabad.
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