Medical Coding Manager( HCC)

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.