Posted:1 week ago|
Platform:
Work from Office
Full Time
HCC (Hierarchical Condition Category) QA coders ensure the accuracy, completeness, and compliance of medical coding related to patient health records for risk adjustment and reimbursement in the US healthcare system.
Key Roles & Responsibilities:
Quality Review & Auditing
Perform QA audits on HCC coding to ensure compliance with CMS (Centers for Medicare & Medicaid Services) guidelines.
Validate that all diagnoses are correctly captured and supported by medical documentation.
Identify coding discrepancies and provide detailed feedback to production coders.
Coding Accuracy & Compliance
Apply ICD-10-CM codes for chronic and acute conditions accurately.
Ensure coding adheres to AAPC, AHIMA, and CMS standards.
Maintain high accuracy rates (typically >95%) in coding reviews.
Documentation Improvement
Communicate documentation gaps or inconsistencies to coders and physicians.
Provide guidance to improve clinical documentation for better risk adjustment.
Reporting & Analysis
Prepare QA reports for team performance, accuracy, and error trends.
Participate in root cause analysis for recurring quality issues.
Training & Mentoring
Conduct training sessions for coders on HCC coding guidelines, updates, and quality improvement.
Mentor junior coders and support process improvement initiatives.
Compliance & Confidentiality
Ensure adherence to HIPAA regulations and company data security policies.
Stay updated on CMS risk adjustment model changes and HCC mapping.
hcc coding experience upto 2 to 3+ years in medical coding'
Drop me your updated resume through this whatsapp
Ranjith HR: 9700400455
Access Healthcare
Upload Resume
Drag or click to upload
Your data is secure with us, protected by advanced encryption.
Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.
We have sent an OTP to your contact. Please enter it below to verify.
Instantly access job listings, apply easily, and track applications.
hyderabad
3.25 - 4.5 Lacs P.A.
5.0 - 12.0 Lacs P.A.
hyderabad, chennai, bengaluru
1.0 - 5.0 Lacs P.A.
2.0 - 4.5 Lacs P.A.
1.0 - 3.0 Lacs P.A.
pune, chennai, bengaluru
11.0 - 21.0 Lacs P.A.
mumbai
10.0 - 15.0 Lacs P.A.
chennai, bengaluru
3.0 - 8.0 Lacs P.A.
6.0 - 9.0 Lacs P.A.
6.0 - 14.0 Lacs P.A.
