HCC Coder
Location: Chennai, Tamil Nadu, India
Employment Type: Full-Time
Department: Medical Coding / Risk Adjustment / Healthcare Analytics
Job Summary
The HCC Coder is responsible for reviewing medical records, assigning accurate ICD-10-CM diagnosis codes, and mapping conditions to Hierarchical Condition Categories (HCC). The role ensures coding accuracy, compliance with healthcare regulations, and proper risk adjustment documentation to support healthcare reimbursement and reporting processes.
Key Responsibilities
Medical Coding & Documentation Review
Review patient medical records to identify diagnoses and treatments.
Assign appropriate ICD-10-CM diagnosis codes.
Map diagnoses to Hierarchical Condition Categories (HCC).
Ensure coding accuracy, consistency, and completeness across records.
Compliance & Quality Assurance
Audit medical records and documentation for compliance with coding standards.
Ensure adherence to ICD-10-CM, CPT, HCPCS, and HEDIS CAT II guidelines.
Maintain high standards of accuracy and regulatory compliance.
Participate in internal audits and quality checks.
Clinical Documentation Support
Provide feedback to physicians and healthcare providers to improve documentation quality.
Educate team members on coding guidelines and documentation best practices.
Support continuous improvement in clinical documentation processes.
Risk Adjustment Coding
Support accurate risk adjustment through proper HCC mapping.
Ensure correct identification of chronic and acute conditions for reporting.
Contribute to accurate reimbursement and healthcare analytics processes.
Required Qualifications
Experience
6 months to 4 years of experience in medical coding or healthcare documentation.
Technical Skills
Strong knowledge of:
ICD-10-CM coding system
CPT coding
HCPCS codes
HEDIS CAT II codes
Understanding of HCC risk adjustment methodology.
Familiarity with medical record interpretation and clinical terminology.
Preferred Certification
HCC Coding Certification preferred (not mandatory).
Key Skills
Medical Coding Accuracy
Attention to Detail
Analytical Thinking
Compliance Awareness
Medical Record Interpretation
Quality Assurance
Clinical Documentation Improvement
Team Collaboration
Key Contribution
Ensure accurate risk adjustment coding for healthcare reimbursement systems.
Improve quality and completeness of clinical documentation.
Support healthcare analytics and compliance initiatives.
Maintain coding accuracy and reduce documentation errors.
Salary Criteria
Expected Salary: ₹3.5–7 LPA for candidates with 0.5–4 years of HCC/ICD-10 medical coding experience; certified HCC coders or candidates with strong US healthcare risk adjustment experience may earn ₹7–9+ LPA depending on accuracy metrics and domain expertise.
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