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Access Healthcare
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Hcc Medical Coder

Hcc Medical Coder

Access Healthcare

1 - 3 years

1 - 4 Lacs

hyderabad

Posted:1 day ago| Platform:

Apply

Skills Required

medical coder cpc certified ccs crc cpc hcc coding medical coding

Work Mode

Work from Office

Job Type

Full Time

Job Description

Greetings from Access Healthcare

We're hiring for HCC medical coder !!!

Role & responsibilities

Medical Record Review

Review patient charts, progress notes, and other clinical documentation.
Identify and extract relevant diagnoses (especially chronic conditions).

ICD-10-CM Coding

Assign accurate
ICD-10-CM codes
to patient conditions based on documentation.
Ensure documentation supports the codes assigned, particularly
HCC-relevant conditions
(e.g., diabetes, CHF, COPD, cancer).

HCC Mapping and Risk Adjustment

Map ICD-10 codes to the correct HCC categories.
Understand how coding affects
RAF (Risk Adjustment Factor)
scores and reimbursement.
Stay updated on CMS-HCC model changes (e.g., CMS-HCC V28, V24).

Provider Communication and Education

Work with providers to ensure accurate and complete documentation.
Provide feedback and training to providers on clinical documentation improvement (CDI).

Compliance and Quality Assurance

Ensure compliance with CMS regulations and guidelines.
Adhere to internal and external audit standards.
Participate in internal quality reviews or audits.
Report and correct errors or discrepancies.

Use of Technology

Work with EHR systems, coding software (like Optum Encoder, 3M, or TruCode), and risk adjustment tools.
Use natural language processing (NLP) or AI tools (in some organizations) for code capture assistance.

Reporting and Documentation

Document findings clearly and completely in coding tools.
Create reports related to coding accuracy, query outcomes, or coding productivity.

Preferred candidate profile

Immediate joiners to 15days notice period

Contact:-

Albert Gill. HR

8667495583(Contact through WhatsApp)

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