Incuvio Health Inc

Location: Noida Sector 62 (Hybrid) Medical Coding Manager Incuvio is seeking an experienced HCC Coding Manager to lead our risk adjustment coding operations while also contributing directly as a high-performing individual coder. This hybrid role requires strong expertise in HCC/Risk Adjustment coding, team leadership, and coding quality management. The ideal candidate will oversee a team of HCC coders, ensure documentation integrity, manage hiring and training, and uphold compliance across all coding activities. Key Responsibilities Review and code patient medical records using accurate ICD-10-CM and HCC classifications. Validate diagnosis capture, chronic conditions, and disease specificity for Risk Adjustment. Identify documentation gaps and recommend improvements to providers and internal teams. Perform coding audits and ensure the highest levels of accuracy and compliance. Lead, mentor, and oversee a team of HCC medical coders. Build and scale the coding team through effective hiring, onboarding, and training. Set performance standards, track coder productivity, and provide continuous feedback. Plan and execute team development programs, ongoing education, and skill enhancement. Conduct periodic quality checks and implement corrective action plans where necessary. Collaborate with providers, QA teams, and clinical leadership to optimize documentation quality. Establish SOPs, workflows, and quality assurance processes for HCC coding operations. Support denial management, coding-related appeals, and revenue cycle improvements. Analyze coding data to identify trends, gaps, and opportunities for improvement. Ensure compliance with CMS, Medicare Advantage, HIPAA, and state regulations. Stay updated with coding guideline changes, RADV audit requirements, and payer policies. Qualifications Certified Risk Adjustment Coder (CRC) Additional certifications like CPC, CCS, and CCA are a plus. 10+ years of hands-on HCC/Risk Adjustment coding experience. Prior experience leading or managing a coding team (preferred but not mandatory for strong ICs ready to step up). Strong understanding of ICD-10-CM, documentation integrity, and HCC capture. Excellent communication, leadership, and analytical skills. Ability to manage deadlines, ensure accuracy, and drive continuous improvement.