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HCC (Risk Adjustment Coding)

HCC (Risk Adjustment Coding)

Reveleer

3 - 7 years

3 - 8 Lacs

Chennai

Posted:-1 days ago| Platform:

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Skills Required

Risk Adjustment Hcc Coding Medical Coding CRC CPC

Work Mode

Work from Office

Job Type

Full Time

Job Description

RISK ADJUSTMENT MEDICAL CODER

EXPERIENCE & SKILLS:

Minimum 3 years of experience in medical coding with a focus on Hierarchical Condition

Category (HCC) risk adjustment and RADV audits

Proficient understanding of CMS and HHS risk adjustment models
Good understanding and/or experience of handling RADV and CMS stratified auditing
process (High, medium and low complex records)
Familiarity with EHR systems and medical record documentation standards
Strong knowledge of ICD-10 CM coding guidelines
Comprehensive knowledge of medical terminologies, diagnosis and its clinical significance
Exceptional attention to detail and clinical analytical skills
Good written and verbal communication skills
Knowledge of healthcare compliance regulations and HIPAA
EXPERIENCE & SKILLS: working in a payer or provider environment

JOB REQUIREMENTS:

Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent

credential.

Strong knowledge of ICD-10-CM coding, CMS and HHS risk adjustment models.
Experience with RADV audits or risk adjustment coding (typically 3+ years).
Good understanding and experience on handling High, Medium and Low complex records
Familiarity with CMS guidelines and HHS-RADV protocols.
Excellent attention to detail and analytical skills.
Proficiency in EHR systems and NLP based coding software.

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