01Overview
HCC medical coding is a specialized role focused on assigning accurate diagnosis codes that directly impact Medicare risk adjustment, insurance reimbursements, and patient care documentation. It requires strong knowledge of ICD-10-CM, CPT, and HCC guidelines, along with attention to detail and compliance expertise.
Job Overview
- Position Title: HCC Medical Coder (Hierarchical Condition Categories)
- Core Purpose: Ensure accurate coding of patient diagnoses and procedures to reflect health status, predict future healthcare costs, and support risk-adjusted payments.
- Work Setting: Hospitals, clinics, insurance companies, or coding service providers.
Key Responsibilities
- Medical Record Review
- Analyze physician notes, lab results, and patient charts.
- Assign ICD-10-CM and CPT codes aligned with HCC risk adjustment models.
- Risk Adjustment
- Capture chronic conditions and comorbidities that affect patient health and cost predictions.
- Optimize Risk Adjustment Factor (RAF) scores for Medicare Advantage plans.
Compensation: 18,000.00 - 25,000.00 per month
Benefits:
- Health insurance
- Leave encashment
- Paid sick time
- Paid time off
- Provident Fund
Work Location: In person .
