HCC CODER

Job Description

ob Title : HCC Coder

Location : Chennai

Job Type : Full-time

Job Summary :

We are seeking a detail-oriented and knowledgeable HCC Coder with 1–2 years of experience to join our healthcare team. The successful candidate will be responsible for reviewing medical records and assigning accurate diagnosis codes to support risk adjustment and proper reimbursement in accordance with CMS HCC risk adjustment guidelines.

Key Responsibilities :

Review and analyze medical records to assign accurate ICD-10-CM diagnosis codes in accordance with official coding guidelines and HCC risk adjustment models.

Ensure all coded data meets CMS, Medicare Advantage, and company compliance standards.

Identify missing or incomplete documentation and communicate with providers for clarification when needed.

Validate HCC codes and ensure risk-adjusted conditions are captured appropriately for each patient encounter.

Maintain confidentiality of all patient health information in compliance with HIPAA regulations.

Meet daily / weekly production and accuracy targets set by management.

Participate in audits, compliance reviews, and training updates.

Qualifications :

1–2 years of experience in medical coding, specifically in HCC / Risk Adjustment.

Certification required : CPC, CRC, CCS, or equivalent (AHIMA or AAPC credential).

Solid understanding of HCC coding principles and risk adjustment models (CMS-HCC, HHS-HCC, etc.).

Familiarity with electronic health records (EHR) and coding software / tools.

Strong knowledge of ICD-10-CM coding guidelines.

Excellent attention to detail, time management, and analytical skills.

Requirements

Preferred Skills Familiarity with MCG / Inter Qual Guidelines is a plus. Keep up-to-date with regulations and maintain organized records of all activities. Experience with Medicaid, Medicare, and Managed Care is helpful. Strong knowledge of anatomy, physiology, and medical terminology. Proficient in MS Office applications. Excellent communication skills and ability to work both independently and in a team. Strong analytical and problem-solving skills. Qualifications : Candidates with a Bachelor's Degree in Nursing are eligible to apply Freshers can also apply. Candidates already having work experience in the Hospital Field is added advantage.