Quality Analyst in HCC Medical Coding Chennai

Responsibilities:

• Perform quality checks on HCC (Hierarchical Condition Category) medical coding processes to ensure accuracy, consistency, and compliance with industry standards.
• Review medical records and coding documentation to identify any discrepancies or errors.
• Provide feedback and training to coding professionals to improve their accuracy and efficiency.
• Conduct audits on medical coding, ensuring adherence to relevant coding guidelines (CMS, ICD-10-CM, etc.).
• Collaborate with coding teams to resolve coding discrepancies and ensure proper coding practices.
• Monitor key performance indicators (KPIs) related to coding accuracy, productivity, and turnaround time.
• Work closely with the team to ensure consistent coding practices across all clients.
• Stay up to date with the latest HCC coding guidelines, updates, and industry standards.
• Generate reports and track metrics to highlight areas for improvement in coding practices.

Skills:

• Good communication skills for providing feedback and training to coding professionals.
• Proficient in Microsoft Office tools (Excel, Word) and coding software.
• Ability to work independently and in a team environment.

Qualifications:

• In-depth knowledge of ICD-10-CM, CPT, HCPCS, and HCC coding guidelines.
• Strong understanding of healthcare compliance regulations, including CMS guidelines.
• Attention to detail and ability to identify coding errors or inconsistencies.
• Analytical mindset with the ability to generate reports and analyze trends.

• Any life science degree
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required.

• Competitive salary and performance-based incentives
• Health, dental, and vision insurance
• 401(k) with company match
• Paid time off and holidays
• Professional development and continuing education support