Job Title: HCC Medical Coder (Risk Adjustment) – Hyderabad Experience: 1–3 years Work Model: On-site 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 qualified 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., 3 M, Tru Code) 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 Commercial).

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