Certified Risk Adjustment Coder (CRC)

Z H Consultancy Services

2 - 4 years

3 - 6 Lacs

kochi

Posted:3 days ago| Platform:

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Skills Required

crc risk adjustment cpc hipaa hcc coding us healthcare icd rcm ehr aapc icd-10-cm

Work Mode

Hybrid

Job Type

Full Time

Job Description

Job Title: CRC Coder

Location:

About the Role

skilled and detail-oriented CRC Coder

Key Responsibilities

Medical Record Review:
Analyze clinical documentation to ensure accuracy, completeness, and proper code capture.
Code Assignment:
Assign accurate and compliant ICD-10 codes for diagnoses and procedures, with emphasis on
HCC and risk adjustment
coding.
Documentation Analysis:
Identify documentation gaps and provide feedback to healthcare providers and internal teams for improvement.
Quality & Compliance:
Adhere to
official coding guidelines
, payer regulations, and
HIPAA standards
, maintaining high levels of accuracy and productivity.
Provider Collaboration:
Communicate with healthcare providers to clarify or obtain necessary clinical details for correct code assignment.
Auditing:
Conduct internal audits of coded charts to ensure coding accuracy, support claim integrity, and assist in resolving discrepancies or appeals.
Continuous Improvement:
Stay current with industry updates, coding regulations, and payer-specific requirements.

Qualifications & Requirements

Bachelor’s degree or equivalent in healthcare, life sciences, or related field.
Minimum
2 years of experience
in
CRC / Risk Adjustment / HCC coding
.
Certification:
CRC
(AHIMA or AAPC certified preferred).
Strong knowledge of
ICD-10-CM guidelines
and risk adjustment methodologies.
Experience working with
EHR systems
and coding software.
Excellent attention to detail and analytical skills.
Good communication and collaboration skills.

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