Job Title: HCC Medical Coder (Risk Adjustment) – Hyderabad
Experience: 1–3 years
Work Model: In office
Location: Hyderabad, India

About the Role
We are seeking a detail-oriented HCC Medical Coder with 1–3 years of hands-on experience in risk adjustment coding to join our growing team in Hyderabad. In this role, you will review clinical documentation, assign accurate ICD-10-CM codes, and ensure strict adherence to HCC guidelines, HIPAA, and payer-specific compliance standards for Medicare Advantage, ACA, and commercial risk adjustment programs.

This is a high-impact role where your coding accuracy directly influences quality scores, risk adjustment factors (RAF), and reimbursement integrity.

Key Responsibilities
Medical Record Review: Analyze inpatient, outpatient, and skilled fee charts to assign accurate ICD-10-CM diagnosis codes that reflect chronic conditions and comorbidities.

HCC / Risk Adjustment Coding: Identify and code Hierarchical Condition Categories (HCCs) ensuring documentation meets M.E.A.T. (Monitor, Evaluate, Assess, Treat)



criteria and payer-specific requirements.

Compliance & Quality Assurance: Maintain 95%+ coding accuracy while meeting daily/weekly productivity targets. Participate in internal audits and support RADV (Risk Adjustment Data Validation) readiness.

Clinical Documentation Improvement (CDI): Collaborate with providers, team leads, and CDI specialists to clarify documentation gaps and ensure diagnoses are supported, specific, and actionable.

Reporting & Tools: Use encoder software (e.g., 3M, TruCode) and EHR platforms (e.g., Epic, Cerner) to code efficiently. Prepare coding reports and track quality metrics using Excel or internal dashboards.

Continuous Learning: Stay updated on ICD-10-CM Official Guidelines, AHA Coding Clinic, and CMS/HHS risk adjustment model updates.

Qualifications & Requirements
Experience: 1–3 years of production coding experience in HCC / Risk Adjustment (Medicare Advantage, ACA, Medicaid, or Commercia

📌 HCC Medical Coder (Hyderabad)
🏢 Agilys Nxt
📍 Hyderabad