Role & Responsibilities

HCC Medical Coding Responsibilities

- Review patient medical records and provider documentation to accurately assign ICD-10-CM diagnoses for Risk Adjustment (HCC) coding.
- Ensure accurate capture of chronic and high-impact conditions supporting appropriate HCC and RAF score assignment.
- Validate clinical documentation to ensure compliance with CMS Risk Adjustment guidelines.
- Identify documentation gaps and recommend opportunities for improved condition capture.
- Collaborate with providers and internal teams to resolve coding-related issues efficiently.
- Perform chart reviews, coding validation, and quality audits.
- Maintain high coding accuracy, productivity, and compliance standards.
- Stay current with annual HCC model updates, coding guidelines, and regulatory changes.
- Demonstrate the ability to independently investigate, analyze, and resolve complex coding scenarios without operational delays.

Preferred Candidate Profile

Strong Knowledge of:

- ICD-10-CM Coding
- HCC (Hierarchical Condition Category) Coding
- CMS Risk Adjustment Methodology
- RAF Score Impact and Risk Adjustment Concepts
- Medical Terminology, Anatomy, and Disease Processes
- Coding and EMR Tools

Key Competencies:





- Strong analytical and critical thinking skills
- Ability to make sound coding decisions based on clinical documentation
- Smart, proactive, and solution-oriented approach to coding challenges
- Capability to independently resolve coding-related issues with minimal supervision
- Excellent attention to detail and commitment to quality
- Solid communication and collaboration skills

Eligibility Criteria

- Certification: CPC / CRC / CCS / COC (Preferred)
- Experience in HCC Coding / Risk Adjustment Coding
- Good understanding of CMS guidelines and compliance requirements

Preferred Candidates

Immediate Joiners.

Chennai residing candidates only.

Candidates with 6months to 1year experience can apply.

Candidates who can:

- Think strategically and make informed coding decisions
- Resolve coding discrepancies and documentation challenges effectively
- Take ownership of issues and drive resolutions without hiccups
- Contribute to process improvements and quality enhancement initiatives

Shift Timing:

3:00 PM to 12:00 AM IST(5:30 AM to 1:30PM EST).

"Drop will be provided for female candidates only".

📌 Hcc Medical Coder (Chennai)
🏢 ARCDOTT RCM Solutions
📍 Chennai