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Job Description
The HCC Coder analyzes clinical documentationsuch as progress notes, annual wellness visits, and specialist reportsto identify all active, chronic, and co-existing medical conditions. Unlike general outpatient or inpatient coding, this role focuses heavily on risk adjustment models (like CMS-HCC) to determine patient health status.
Key ResponsibilitiesRecord Review: Read and analyze patient charts, medical histories, and provider notes to extract relevant clinical data.Diagnosis Coding: Assign precise and specific ICD-10-CM codes for chronic and high-risk conditions following official coding guidelines.Risk Adjustment Abstraction: Capture all reportable conditions that affect the Risk Adjustment Factor (RAF) score.Compliance & Quality:
Maintain high accuracy and compliance with HIPAA and health plan requirements.Productivity: Meet daily or weekly chart review quotas and quality benchmarks set by the employer.
Requirements and Qualifications
Experience: 2 to 5+ years of core medical coding experience, with specific exposure to HCC or risk adjustment.
Certifications: Industry credentials like the Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS).Knowledge: Solid command of ICD-10-CM guidelines, human anatomy, medical terminology, and disease processes.Technical Skills: Familiarity with Electronic Health Records (EHR/EMR), abstraction software, and basic Microsoft Office toolsRole & responsibilities
Preferred candidate profile
Perks and benefits
📌 Medical Coder (Chennai)
🏢 Razon Technologies
📍 Chennai
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