Shift timing : 06:30 PM to 03:30 AM
Job Summary:
We are seeking an experienced and detail-oriented Medical Coder – HCC (Hierarchical Condition Category) to join our dynamic healthcare team.
The ideal candidate will have a strong background in HCC coding, with at least 3 years of relevant experience, and must be comfortable working night shifts .
The role involves reviewing medical records and assigning accurate diagnosis codes to ensure compliance with CMS risk adjustment guidelines.
Key Responsibilities:
- Review and analyze medical records to assign accurate HCC/ICD-10-CM diagnosis codes
- Ensure coding is in compliance with all CMS and organizational guidelines
- Abstract and validate patient data to capture all applicable chronic conditions
- Collaborate with providers and documentation specialists to clarify diagnoses
- Meet coding productivity and quality benchmarks
- Stay updated on industry regulations, payer policies, and coding changes
- Maintain strict patient confidentiality and adhere to HIPAA regulations
Required Qualifications:
- Minimum 3 years of experience in HCC coding
- Certification from AAPC or AHIMA (e.g., CPC, CRC, CCS, CCS-P)
- Strong knowledge of ICD-10-CM coding guidelines and risk adjustment models
- Proficient in using EMR/EHR systems and coding tools
- Excellent analytical and communication skills
- Ability to work independently with high accuracy
- Willingness to work night shifts is mandatory
Preferred Qualifications:
- Experience with Medicare Advantage Plans and Risk Adjustment Programs
- Familiarity with RADV audits and suspect conditions validation
- Prior experience in remote coding environments
Benefits:
- Competitive salary & shift allowances
- Health insurance and other benefits
- Opportunities for career growth and upskilling
- Supportive work environment