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 codingCertification from AAPC or AHIMA (e.g., CPC, CRC, CCS, CCS-P)Strong knowledge of ICD-10-CM coding guidelines and risk adjustment modelsProficient in using EMR / EHR systems and coding toolsExcellent analytical and communication skillsAbility to work independently with high accuracyWillingness to work night shifts is mandatoryPreferred Qualifications :
Experience with Medicare Advantage Plans and Risk Adjustment ProgramsFamiliarity with RADV audits and suspect conditions validationPrior experience in remote coding environmentsBenefits :
Competitive salary & shift allowancesHealth insurance and other benefitsOpportunities for career growth and upskillingSupportive work environment