Medical Coder

10 hours ago

Hyderabad, Telangana, India Softcode Solutions Full time ₹ 9,00,000 - ₹ 12,00,000 per year

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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