Medical Coder/QA - Immediate Joiners

Job Description

JOB DESCRIPTION Role: Medical Coder/QA Industry Type: Medical Services / Hospital Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Education : Any Graduate in life science background Job Role: The HCC Coder is responsible for accurately coding and validating diagnoses and procedures for Hierarchical Condition Categories (HCC) coding. This role plays a vital role in ensuring proper documentation and coding, which directly impacts reimbursement and compliance. The HCC Coder ensures compliance with coding guidelines, conducts audits, and provides education and support to the healthcare team. Responsibilities: • Analyse medical records to identify and assign appropriate ICD-10 codes for HCC coding • Review documentation to ensure accurate capture of all relevant diagnoses and procedures • Conduct comprehensive assessments of medical record documentation to ensure compliant coding • Collaborate with healthcare providers and medical coders to clarify documentation or obtain additional information as needed • Verify the accuracy and completeness of coded data, ensuring adherence to coding guidelines and conventions • Perform regular audits of coding quality, identifying trends, and recommending process improvements • Stay updated on coding guidelines, HCC coding updates, and reimbursement policies to ensure compliance. • Provide feedback and education to healthcare providers and staff on coding best practices and documentation requirements. • Maintain a high level of accuracy while meeting productivity targets and deadlines. • Collaborate with revenue cycle management and billing teams to resolve coding- related billing denials and ensure timely reimbursement • Maintain confidentiality and adhere to all HIPAA regulations and privacy guidelines. • Proficiency with coding software, electronic health records (EHR), and other relevant software applications Qualifications: Education: Bachelor's Degree in any life science Licences/Certifications: CPC/COC/CRC/CCS/CIC • Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information. • 1+ years experience in HCC coding • Proficiency in ICD-10 coding, including HCC coding methodologies and Risk adjustment coding guidelines. • Knowledge of Medicare Risk Adjustment (MRA) and Hierarchical Condition Categories (HCC) coding concepts • Excellent written and verbal communication skills to interact with healthcare providers and staff