HCC Coder

Job Overview

Job Description:

• Review patient charts and assign ICD-10 codes for risk adjustment.
• Validate Hierarchical Condition Categories (HCC) according to CMS and HHS models.
• Identify suspect conditions and perform accurate code capture for chronic diseases.
• Ensure complete and compliant coding to optimize RAF scores.
• Collaborate with QA and clinical teams to resolve discrepancies.

Requirements:

• Strong knowledge of HCC coding, MEAT criteria, and chronic conditions.
• Excellent understanding of ICD-10-CM coding guidelines.
• Good communication and analytical skills.
• Exposure to Medicare Advantage or Risk Adjustment models preferred.

Preferred Qualifications

• Location: Madurai / Thanjavur / Trichy / Chennai / Mumbai
  Certification: CPC / CRC / CCS (Mandatory)