406 Cpc Certified Jobs - Page 7

Role & responsibilities : Medical Coder IPDRG : Review, analyze, and code diagnoses and procedures for inpatient charts using ICD-10-CM and ICD-10-PCS. Assign accurate MS-DRGs or APR-DRGs based on documentation. Ensure compliance with federal coding guidelines and hospital coding policies. Maintain coding productivity and quality standards as per client SLA. IPDRG Quality Auditor : Conduct internal audits for inpatient coded charts to ensure accuracy and compliance. Provide feedback and training to coding teams based on audit findings. Work closely with QA managers and compliance teams to identify trends and gaps. Prepare audit reports and participate in client discussions when needed. Preferred candidate profile Certified coder: CIC / CCS / CPC (Mandatory) Strong experience in Inpatient DRG coding (MS-DRG/APR-DRG) Familiarity with U.S. healthcare guidelines and payer policies Strong knowledge of ICD-10-CM, ICD-10-PCS For auditors: Prior experience in quality review / internal audits / team mentoring Education : Any graduate (Life Science/Paramedical preferred) Coding certification: AAPC / AHIMA (mandatory) Perks and Benefits : Health Insurance Certification Sponsorship (if applicable) Performance Bonuses Learning & Development Programs Free Meal , Snacks and Beverages How to Apply : Apply via Naukri or send your updated resume to: amith.baswaraj@coronishealth.com or Contact - Amith G - 8971789084

* Review and analyze medical records to assign accurate codes *Ensure coding compliance with official guidelines, payer policies *Meet productivity and accuracy standards set by the organization. Required Candidate profile Bachelor’s degree in Life Sciences, Health Information Management, or equivalent (preferred). 1–3 years of hands-on coding experience

Immediate opening for Certified HCC medical coder, Only certified candidates are eligible. Shift: Day Location: Chennai/Bangalore/Calicut Experience: 1years to 6Years Designation: Coder/Senior Medical coder Mode of Work: Work from Office Mode of interview: virtual Interview Level: 1st Level - Assessment 2nd level - Technical Level Interested candidate kindly contact Reshma HR - 9361279443 Email ID: reshma.bagam@corrohealth.com

Immediate opening for Certified HCC medical coder, Only certified candidates are eligible. Shift: Day Location: Chennai/Bangalore/Kochi Experience: 1years to 6Years Designation: Coder/Senior Medical coder Mode of Work: Work from Office Mode of interview: virtual Interview Level: 1st Level - Assessment 2nd level - Technical Level Interested candidate kindly contact Sandhiya HR - 9176301122 Email ID: sandhiya.ravi@corrohealth.com

Greetings from Corro Health...!! We are Hiring for HCC Certified Medical Coder Eligibility Criteria: Should have 1 - 6 Years experience in HCC Coding Certified in AAPC/AHIMA-CPC, CRC, CCS, COC Certification Must WFO Day Shift. Notice Period will Accepted. Location - Chennai, Bangalore, Kochi, Calicut. Roles and Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes Review medical charts under the diagnosis and procedure to ascribe the related CPT and ICD-10. Ensure that you assign codes based on coding and customer guidelines. Proficient coding of outpatient/Inpatient charts across a variety of specialties with over 97% accuracy and as per the turnaround time. Follow up with the payer on any documentation that is insufficient or unclear Search for information in cases where the coding is complex or unusual Receive and review patient charts and documents for accuracy Ensure that all codes are current and active Participates in coding meetings and education conferences to maintain coding skills and accuracy. Ensuring compliance with medical coding policies and guidelines. Desired Skills: Experience in Coding specialty HCC coding Knowledge of the US healthcare industry is desired Good knowledge of client-specific process rules and regulatory requirements Strong knowledge of anatomy, physiology and medical terminology Familiarity with ICD-10 codes and procedures Good in oral and written communication skills Able to work independently & flexible to work in Weekends MS office/ MS Excel/ MS PowerPoint knowledge / Software tool knowledge Interested candidates kindly share your resume Whatsapp Sushil- 9043979492 Mail - Sushil.chandrasekar@corrohealth.com

Greetings From Zealous Healthcare! Join Our Team at Zealous Healthcare (Home Health Coding Specialist) Position: Home Health Coder Experience: 1 to 4 Years in Home Health Coding Qualification: Graduation in Life Sciences (mandatory) Location: Chennai (Nungambakkam) About Zealous Healthcare At Zealous Healthcare, we believe that every detail in patient care matters, from the first point of contact to the continuous support provided at home. As part of the Zealous Group , a trusted name in healthcare services, we have built our reputation by providing innovative, reliable, and compassionate healthcare solutions. Our goal is to bridge the gap between quality care delivery and cutting-edge medical coding standards to ensure patients receive the best possible outcomes while healthcare providers maintain compliance and efficiency. We specialize in home health services , supporting patients who require medical assistance within the comfort of their homes. With an emphasis on accuracy, compliance, and patient-centric care, Zealous Healthcare continues to grow as a trusted partner for health systems, physicians, and caregivers. If you are a skilled home health coder with a passion for accuracy and dedication to quality healthcare delivery, we invite you to join our team. Why Choose a Career with Zealous Healthcare? Impactful Work: Your contributions directly affect the quality of patient care and outcomes. Career Growth: We provide opportunities for continuous learning, certifications, and professional development. Work-Life Balance: We respect your personal commitments and ensure an environment that promotes balance. Dynamic Team: Work alongside experienced healthcare professionals and coding experts in a collaborative and supportive environment. Innovation in Healthcare: Be part of an organization that embraces digital transformation and advanced coding practices to deliver top-notch services. At Zealous Healthcare, we dont just offer jobs we offer long-term careers where passion meets purpose . Roles and Responsibilities As a Home Health Coder , you will play a crucial role in ensuring that patient records are coded accurately , treatment plans are well-documented, and compliance is maintained according to industry standards. Your responsibilities include: Review OASIS Documentation: Conduct thorough reviews of OASIS (Outcome and Assessment Information Set) documents. Ensure all data points are accurate, compliant, and aligned with industry regulations. Develop Care Plans: Translate clinical information into well-structured plans of care for home health patients. Collaborate with patient care managers to ensure interventions, medications, and goals are documented correctly. Timely Review & Coding: Perform accurate coding of OASIS documents with a focus on productivity and meeting daily/weekly targets. Ensure all records are completed on time to avoid delays in care delivery and reimbursement. Maintain Medical Records System: Update and manage electronic medical record systems with precision. Ensure confidentiality, compliance, and easy accessibility of data for audits and reviews. Collaboration with Patient Care Managers: Partner with care managers to review medications, clinical interventions, and long-term patient goals. Ensure proper alignment of coding with treatment requirements and reimbursement guidelines. Compliance and Quality Assurance: Maintain a deep understanding of compliance, coding guidelines, and reimbursement rules. Participate in audits and contribute to process improvements for better outcomes. Key Requirements To be successful in this role, you should meet the following qualifications and skills: Education: Graduation in Life Sciences (mandatory). Certification (Required): BCHH-C (Board Certified Home Health Coder) or CPC (Certified Professional Coder). Preferred Certification: AHIMA credentials (e.g., CCS, CCA, RHIT) are an added advantage. Experience: 1 to 4 years of proven experience in home health coding . Skills & Knowledge: Strong understanding of medical terminology, anatomy, and physiology. Familiarity with compliance, OASIS documentation, and reimbursement guidelines. Ability to manage medical records efficiently with attention to detail. Strong communication and interpersonal skills. Proficiency in using healthcare coding tools and electronic medical record systems. Who Should Apply? This role is ideal for candidates who: Have prior experience in home health coding and want to grow in a stable and supportive environment. Are passionate about maintaining the highest level of accuracy in coding and documentation. Thrive in collaborative team environments where communication with patient care managers and healthcare staff is essential. Are detail-oriented professionals who take pride in contributing to patient-centered healthcare delivery . Seek a long-term career with growth opportunities in the healthcare and medical coding field. What We Offer At Zealous Healthcare, we recognize that our employees are the backbone of our success. Thats why we provide not just competitive compensation, but also opportunities that help you grow both professionally and personally. Here what you can expect: Competitive Salary Package aligned with market standards and your experience. Training & Development: Continuous upskilling programs to keep you updated on the latest coding standards and compliance regulations. Certifications Support: Guidance and support in achieving additional certifications to strengthen your career profile. Career Growth Path: Opportunities to move into leadership roles in coding, compliance, or patient care management. Positive Work Culture: A workplace driven by collaboration, respect, and professional excellence. Job Security: Join a stable and growing organization in the healthcare industry. A Day in the Life of a Home Health Coder at Zealous Healthcare Imagine starting your day reviewing patient OASIS documents, ensuring every detail is coded correctly. You collaborate with patient care managers, share insights on interventions and medications, and update the medical records system. Each task you complete contributes directly to patient outcomes, ensuring they receive the right care at the right time. At the end of the day, you know your work has made a difference not just for the patients, but for the healthcare system as a whole. Why This Role Matters Home health coding is not just about entering data. Its about ensuring that patients get the care they need, providers remain compliant, and reimbursements are processed correctly . Your accuracy ensures patient safety, organizational compliance, and financial stability for healthcare providers. By joining Zealous Healthcare, you are becoming part of a mission that goes beyond paperwork — it’s about shaping better healthcare delivery . How to Apply If you are passionate about healthcare, detail-oriented in coding, and committed to improving patient care, we want to hear from you! Send your updated resume to irfan@zealousservices.com with the subject line: Application for Home Health Coding Specialist – (IRFAN - HR) Final Note At Zealous Healthcare, every employee contributes to our larger vision of transforming healthcare delivery in India and beyond. By joining us as a Home Health Coder, you’re not just taking up a job — you’re stepping into a meaningful career where your skills save time, ensure accuracy, and ultimately improve lives . Take the next step in your career journey today. Apply now and become part of our growing family at Zealous Healthcare!

Hiring For Certified ED Blended Contact for More Information: Sandhiya - 7550106180 -sandhiya.haridass@sutherlandglobal.com Job Description ED Blended coder Thorough knowledge on ED Professional and Facility guidelines Assign appropriate CPT codes for the emergency department services, observation, critical care services Code for the surgical procedures, Infusions that are performed during the encounter Determine and assign the primary and significant secondary ICD-10-CM diagnosis codes using official coding guidelines Candidates should have strong verbal and written communication skills Work diligent to meet and exceed quality benchmark Stay updated on changes in coding guidelines and industry standards. Take charge of ongoing learning and development and participates in relevant training and development activities Maintains high degree of professional and ethical standards focuses on continuous improvement in quality Qualifications: Life science graduate Certification in medical coding e.g., CPC, COC, CCS Experience: At least 2-3 years of experience in emergency department coding Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com "

Hi, All Access Health Care Hiring HCC Coders Experience - 0.6 Months - 4 years Location - Chennai Specialty - HCC Certified only *Work From Office* NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Contact Name: Surendaran (HR) Contact Number: 9600183612 Regards, Surendaran HR

Hi, All Access Health Care Hiring HCC Coders Experience - 0.6 Months - 4 years Location - Chennai Specialty - HCC Certified only *Work From Office* NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Contact Name: Surendaran (HR) Contact Number: 9600183612 Regards, Surendaran HR

Greetings from Access Healthcare! We have an opportunity for certified HCC coders. - Minimum 6 months work experience for coder, Above 2 years of Work experience for QA/QC - Work Location: Ambattur IE, Chennai; no WFH will be provided. - Interview Mode: Virtual - Certification is mandatory (CPC, CRC, CCS, CIC, COC). (Shortlisted candidates should join us before 30th Jul 2025) Send an updated resume, a recent photo, Aadhar card, member ID with the mentioned details to WhatsApp, and your interview will be scheduled. For any other queries, kindly reach out & drop your resume on WhatsApp or call and discuss the interview schedule and process. Contact Name: Preethi Contact Number: 8072406288 Email: preethi.b9@accesshealthcare.com

Access Health Care Hiring Experienced - HCC Coders & QA Experience - 0.6 Months - 4 years Location - Chennai Specialty - HCC Certified only ( Any Certification ) Work From Office NOTICE Period Acceptable & ( Preferred Immediate Joiners ) Designation - Medical Coder / QA / QC Shift: Day shift Compensation: We offer highly competitive work environment with best in the business compensation package. Contact Name: Preethi B Contact Number: 8072406288 call and Whatsapp Email Id: preethi.b9@accesshealthcare.com

Access Health Care Hiring Experienced - HCC Coders & QA Experience - 0.6 Months - 4 years Location - Chennai Specialty - HCC Certified only ( Any Certification ) Work From Office NOTICE Period Acceptable & ( Preferred Immediate Joiners ) Designation - Medical Coder / QA / QC Shift: Day shift Compensation: We offer highly competitive work environment with best in the business compensation package. Contact Name: Tharshini B Contact Number: 7550015097 call and Whatsapp Email Id: tharshini.outsource@accesshealthcare.com

Greetings from Access Healthcare Specialty - HCC Coder & HCC QA Experience - 0.6 Months - 4 Years Location - Chennai (Ambattur) Certified only (CPC, CRC, CCS, COC) Work from office Notice period - 0 to 30 days Shift - Day shift Contact name: Tharshini Hr Contact number: 7550015097 / 7824814501 Email ID: tharshini.outsource@accesshealthcare.com

GREETINGS FROM R1RCM Hiring for Surgery coders-Chennai & Hyd Coders- minimum 1 years' experience CPC/CCS certification mandatory for coders Notice period is acceptable Work from office mandatory shift timings: 8.30 am to 5.30 pm two way cab will be provided If interested share your resumes to hpalaniappan@r1rcm.com/9677152997(whatsapp) If you have friends with the same experience, you can refer them as well contact HR Harrishma hpalaniappan@r1rcm.com 9677152997

Senior Associate : E/M Coding We are looking for " Medical Coder " who can join us immediately. Below is the job requirement. Job Title: Senior Associate : E/M Coding Years of Experience: 2-4 years Shift Timings: Day Shift (09:00 AM to 06:00 PM) Mode of operation: Work from office Mode of Interview: In-Person Location: Hyderabad, Telangana. Experience : 2-4 years experience in E/M coding. CPC certification is Mandatory. Education: Graduation in any stream Expected Qualities: Integrity Attention to detail. Creative, out of the Box thinking. Challengers of the status quo Organized Passionate Contact Info: Ragini: 8341128386

Senior Associate : Surgery coding We are looking for " Medical Coder " who can join us immediately. Below is the job requirement. Job Title: Senior Associate : Surgery coding Years of Experience: 2-4 years Shift Timings: Day Shift (09:00 AM to 06:00 PM) Mode of operation: Work from office Mode of Interview: In-Person Location: Hyderabad, Telangana. Experience : 2-4 years experience in surgery coding (Ortho, Genecology) CPC certification is Mandatory. Education: Graduation in any stream Expected Qualities: Integrity Attention to detail. Creative, out of the Box thinking. Challengers of the status quo Organized Passionate Contact Info: Ragini: 8341128386

A medical coder reviews healthcare documentation and translates it into standardized codes for billing, insurance reimbursement, and data analysis . They assign codes for diagnoses, procedures, and services, ensuring accuracy and compliance with coding guidelines. Their work impacts patient billing, claim processing, and the overall financial and operational efficiency of healthcare organizations. Here's a more detailed breakdown of their responsibilities: Core Responsibilities: Reviewing Medical Records: Analyzing patient charts, physician's notes, lab reports, and other documentation to understand the services provided. Assigning Codes: Applying appropriate codes from systems like ICD-10, CPT, and HCPCS to represent diagnoses, procedures, and services. Ensuring Accuracy and Compliance: Following coding guidelines and regulations to ensure correct code assignment and compliance with payer requirements. Collaborating with Others: Working with physicians, nurses, and billing staff to clarify documentation and resolve coding issues. Maintaining Records: Ensuring accurate and complete patient records through proper coding and documentation. Staying Updated: Keeping current with changes in coding guidelines, regulations, and healthcare technology. Claim Support: Supporting the billing process by providing accurate coding information. Data Analysis: Contributing to data collection and analysis for research, quality improvement, and public health reporting. Skills and Qualifications: Medical Terminology and Anatomy: A strong understanding of medical terminology and human anatomy is crucial. Coding Systems: Proficiency in ICD-10, CPT, and HCPCS coding systems. Attention to Detail: Accuracy is paramount in medical coding to ensure proper billing and reimbursement. Analytical Skills: The ability to analyze medical records and identify relevant information for coding. Communication Skills: Effective communication with healthcare providers and other team members. Problem-Solving Skills: The ability to resolve coding discrepancies and address claim issues. Certification: Many employers require or prefer certification from organizations like AAPC or AHIMA.

We are seeking a skilled and experienced Medical Coder to join our team at Ikya global as a Medical Coding Trainer, you will be responsible for accurately assigning medical codes to diagnoses and procedures using industry-standard coding systems. Required Candidate profile Proficiency in industry-standard coding systems, including CPT, ICD, and HCPCS. Certification as a Certified Professional Coder (CPC) is highly desirable. note : -fresher need not apply

Job Description: Role: Home Health Clinical Reviewer Expertise: ICD-10 coding, OASIS-E, POC (Level 2 & 3) Ensure: Documentation accuracy, CMS & PDGM compliance Focus: Quality care, audits, and operational efficiency

Responsibilities: Ensure compliance with HIPAA & medical transcription standards. AP/AR with accurate coding Perform CPT/CPC coding Coordinate with insurers for timely reimbursements Maintain confidential documentation per regulations. Provident fund

Position: Medical Coder Job Summary: Experienced Medical Coder responsible for accurate assignment of ICD-10-CM, CPT, and HCPCS codes across inpatient, outpatient, physician, home-health and hospice settings. The role requires deep familiarity with Medicare/Medicaid rules, payer policy nuances, and specialty coding (including PDGM/OASIS interplay for home health and hospice billing rules). Coders will partner closely with QA, clinical SMEs, and RCM operations to meet TAT and accuracy SLAs. Core Responsibilities: Review clinical documentation (EHR notes, discharge summaries, OASIS, visit notes) and assign accurate ICD-10, CPT, and HCPCS codes. Ensure coding supports correct bill type (UB-04/837I vs. CMS-1500/837P) and revenue center entries for facility/hospice/home-health claims. Apply PDGM, OASIS and hospice payment rules when coding home health & hospice encounters; sequence diagnoses appropriately for terminal and supporting conditions. AAPCDecision Health Store Validate clinical documentation completeness; create provider clarification (CDI) queries where necessary. Identify denial-risk items and work with denial management/AR teams to reduce leakage. Post completed coded charts into the workflow and coordinate with QA for spot checks and rework. Meet daily/weekly throughput and accuracy SLAs; maintain documentation of coding rationale for audit trails. Participate in sprint-based workflows (time-boxed batches), daily standups and retrospectives to continuously improve throughput and accuracy. Contribute to internal coding guidance (cheat sheets), payer-specific rules library, and training for new hires. Required Qualifications & Experience: Education: High school diploma; Associate degree in Health Information/related preferred. RHIT/RHIA may be preferred for senior roles. AHIMA+1 Experience: Jr: 12 years medical coding (any US setting) Mid: 35 years coding experience, with some specialty exposure (home health/hospice preferred) Sr: 6+ years coding experience, plus leadership/mentorship or subject-matter ownership Strong working knowledge of ICD-10-CM, CPT, HCPCS, medical terminology, anatomy & physiology. Familiar with Medicare billing rules, payer edits, and claim formats (UB-04/1500/837). Comfortable working in an Agile/sprint environment and using digital Kanban/sprint boards. Must-have Certifications (Recommended for Hiring/Shortlisting): (Use these as minimum bar for mid/senior roles; Jr. roles may accept in-progress credentials.) CPC (Certified Professional Coder) AAPC. Core outpatient/physician coding credential. AAPC CCA / CCS / CCS-P AHIMA certifications for coding proficiency (CCA for foundational, CCS/CCS-P for advanced hospital/physician coding). AHIMA+1 CPB (Certified Professional Biller) AAPC (recommended if billing+coding combined). KPIs / Performance Metrics to Measure Success: Turnaround time (TAT): avg hours from chart intake coded deliverable (target: 2448 hrs depending on SLA). First-pass accuracy: % codes accepted without rework (target: 95% for experienced coders). Throughput: charts coded per FTE per day. Denial leakage: % of coded charts where coding error led to claim denials. SLA compliance: % charts delivered within agreed SLA window. QA defect rate: number of coding defects per 100 charts. Sprint Commitment Fulfillment: % of sprint backlog completed (responsibility: Agile participation).

GREETINGS FROM SHEARWATER HEALTH !! Hiring Oncology Coder Responsibility: - Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM, CPT and HCPCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedback. This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensure he/she meets the monthly target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two-way communication with the Quality analyst/Team Lead. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Minimum Qualification: Any Life science, Paramedical Graduates. Experience: 1 Year - 7 Year experience. Desired Profile:- Strong ability to interpret medical records of the patients in different specialties. •Ability to communicate, have excellent interpersonal, listening skills and organizational skills Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions Proficiency Oncology Injections & Infusions coding and Charge capture. Amenable to work from Office. Location : Olympia Cyberspace, Guindy Interested candidates can share your resume to sunilkumarr@swhealth.com/ 91- 9944611974

The Project Lead Pharmacovigilance position at DDReg offers a compelling opportunity for you to advance your career in pharmacovigilance project management. As a crucial member of the Project Management team, you will play a key role in overseeing and directing all pharmacovigilance services. Your responsibilities will include serving as the primary contact for clients, ensuring project activities align with client needs and regulatory requirements, and maintaining high-quality work standards to achieve client satisfaction. Your key accountabilities in this role will involve closely managing client relations by acting as the main liaison between clients and project teams. You will be responsible for fostering strong communication and relationships with clients and internal teams, providing regular updates, and proactively resolving any issues that may arise. Additionally, you will be tasked with developing project scope and objectives, planning and tracking project activities, coordinating with cross-functional resources, and ensuring the timely delivery of high-quality pharmacovigilance work. To excel in this position, you should have 3-4 years of previous experience in Pharmacovigilance Project Management, preferably in a service provider or CRO environment. A background in Life Sciences or Biomedical field with a healthcare-related degree such as pharmacology, biology, biotechnology, or veterinary science is essential. You should possess a strong skill set that includes proficiency in various PV processes and regulations, excellent client-management skills, effective communication abilities, time management skills, and attention to detail. Advanced proficiency in verbal and written English, as well as knowledge of MS Office applications, is also required for this role. Join DDReg as a Project Lead Pharmacovigilance and take advantage of this opportunity to contribute meaningfully to the field of pharmacovigilance project management while elevating your career to new heights.,

We are looking for a OP Medical Coder - Freshers to join our team in Calicut. This is a Hybrid job opportunity. The ideal candidate should be a CCS / CPC Certified coder from AAPC/AHIMA with a Medical Background. You should be ready to join immediately. It is essential for the candidate to possess an understanding of the coding principles and systems for ICD-10, CPT, and HCPCS. We are specifically looking for Non-Licensed medical professionals (Physician, nurse, or therapist) with a life science background. Please be informed that only short-listed candidates will be contacted. Kindly ensure that your email subject follows the format: Candidate name _ Location _ Graduation Name. Interested applicants are requested to share their updated resume to recruitment@greycodes.ae.,

Primary Responsibilities: The coder will evaluate medical records to verify the plan of care for chronic medical conditions The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Full-timeYes Work from officeYes Travelling Onsite / OffsiteNo Required Qualifications: Any graduate experience Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified Work experience of 1+ years Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards Good knowledge in Anatomy, Physiology & Medical terminology At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. External Candidate Application Internal Employee Application