Job DescriptionJob Summary
nWe are seeking an experienced medical coding and risk adjustment leader to manage and strengthen our coding, quality, compliance, and clinical documentation improvement functions.
nThe role will oversee end-to-end medical coding operations across HCC risk adjustment, inpatient and outpatient coding, emergency department, evaluation and management, ambulatory surgery center, and other multispecialty coding programs.
nThe selected qualified will be responsible for improving coding accuracy, documentation quality, revenue integrity, operational performance, and regulatory compliance. The role will also involve team leadership, client engagement, process transitions, quality governance, performance analytics, and implementation of technology-enabled coding solutions.
nThis position is suitable for a senior healthcare professional who can combine medical coding expertise with operational leadership, quality improvement, client management, and digital transformation.
nKey Responsibilities
nMedical Coding and Risk Adjustment
n
- n




- Lead end-to-end medical coding operations for provider and payer programs.n
- Oversee HCC risk adjustment coding for Medicare Advantage and other health plan programs.n
- Ensure accurate capture of HCCs, chronic conditions, disease specificity, complications, comorbidities, and patient acuity.n
- Review RAF-related coding outcomes and support reimbursement and revenue-integrity objectives.n
- Provide coding oversight across inpatient, outpatient, emergency department, E/M, ASC, surgery, and multispecialty coding.n
- Ensure correct application of ICD-10-CM, CPT, HCPCS, ICD-10-PCS, MS-DRG, and APR-DRG guidelines.n
- Support CDI initiatives for physician and hospital coding programs.n
- Identify documentation gaps, unsupported diagnoses, coding discrepancies, and improvement opportunities.n

nQuality and Compliance
n
- n
- Establish and manage coding-quality, audit, and compliance frameworks.n
- C

📌 Lead HCC Risk Adjustment Medical Coder (Ghaziabad)
🏢 Curitics Health
📍 Ghaziabad