Walk-in || Medical Coding Executive

Job Title:

Certified HCC Coder US Healthcare Medical Coding

Job Description:

We are hiring experienced and certified HCC Coders for US Healthcare only Medical Coding process. Candidates should have strong knowledge in Risk Adjustment Coding, ICD-10-CM guidelines, and medical record review.

Roles & Responsibilities:

Review and analyze patient medical records for accurate HCC coding.

Assign appropriate ICD-10-CM and HCC codes based on documentation.

Ensure coding accuracy and compliance with CMS guidelines.

Identify chronic conditions and capture RAF scores accurately.

Perform chart abstraction and medical record auditing.

Maintain coding quality and productivity targets.

Work on provider education and documentation improvement.

Follow HIPAA compliance and data confidentiality standards.

Coordinate with QA and Operations teams for coding clarifications.

Eligibility:

Minimum 1.6 to 2 years of experience in HCC Coding.

Certification mandatory: CPC / CRC / CCS / AHIMA / AAPC Certified.

Good knowledge of ICD-10-CM, Risk Adjustment, and CMS-HCC models.

Experience in medical record review and abstraction.

Good communication and analytical skills.

Preferred Skills:

Knowledge in RAF score calculation.

Experience in retrospective and prospective coding.

Good understanding of US Healthcare concepts and HIPAA compliance.

Ability to meet daily productivity and quality targets.

Shift:

Day Shift / US Shift

Notice Period: 15 Days

Immediate joiners preferred

POC: Ranjith HR