Hcc coder Job at Access Healthcare LLC (Chennai)

Trainer - Medical Coding

We are hiring a Trainer - Medical Coding with 3+ years of experience to join our...

Location

India , Chennai

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Certified coder from AAPC or AHIMA
Strong analytical skills
Hands-on experience in HCC coding and denial management
Excellent team management and communication skills
Knowledge of the RCM cycle
Minimum 3 years of work experience in training for HCC coding
Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM, CPT conventions & HCPCS codes
Hands on experience in HCC coding, training and mentoring coders for developing capability on denial management in the organization

Job Responsibility

Follow the training agenda and facilitate the training for HCC Coding
Browse payer guidelines and collate the most accurate information with payer specifics
Interpret medical records of patients in different specialties and able to provide appropriate denial actions for the analysis done
Provide continuous education for given set of clients
Assist in compliance audits internally for all types of HCC coders and auditors
Keep in pace with industry changes in medical coding domain
Report and analyse the trainees and make the client partners ramp up to the speed of the Client and SD/SQ teams

Delivery Manager – Operations (Coding)

We are hiring a Delivery Manager who is capable of coordinating day-to-day servi...

Location

India , Chennai

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Excellent team management and communication skills
Minimum 10 years of work experience
Experience in HCC coding
Certified coder from AAPC or AHIMA

Job Responsibility

Communicate with clients and manage service delivery according to client SLAs
Create and maintain process documentation and update it on a timely basis
Manage operations through end-to-end planning, process document review and root cause analysis
Assist with new team member training, and ensure consistent growth and development
Review overall staff performance, and ensure that all targets for controlling attrition and shrinkage are met
Prepare/maintain management/operational reports and maintain process KPI and dashboard metrics

Medical Coder

We are Currently looking for a Medical Coder, this opportunity is a permanent WF...

Location

India , Noida

Salary:

Not provided

Collance

Expiration Date

Until further notice

Requirements

Certification as a Medical Coder from a recognized program (e.g., CPC, CRC)
Previous experience in HCC coding is required
Knowledge of medical terminology and common medical procedures
Strong knowledge of health insurance and medical coding guidelines and laws
Proficient with coding software and electronic health records (EHR)
Attention to detail and accuracy
Ability to communicate effectively, both verbally and in writing
Strong organizational and multitasking skills

Job Responsibility

Review and accurately code the medical records for diagnoses and procedures
Translate medical terminology into a coded form
Check charts and records for accuracy and completeness
Communicate with medical billing specialists to ensure treatment codes are accurately received
Keep abreast of and comply with billing and coding guidelines
Resolve or clarify any codes or procedural conflicts by communicating with doctors or healthcare providers
Ensure all services and procedures have been coded correctly and have supporting diagnoses
Perform coding reviews to ensure all documentation is accurate and precise

Fulltime

Risk Adjustment Education Specialist

This Job will report to the Risk Adjustment Manager of Coding Operations. Respon...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Associate degree or equivalent experience required
5 years of experience in a hospital, a physician setting, or a Managed Care Organization as a medical coder required
2 years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding) required
Other experience in teaching, training, or an educator/instructor role is needed
Must have experience in creating effective training materials and presentations (PowerPoint, Adobe, etc.)
Certified Professional Coder (CPC) from AAPC is required
Certified Risk Adjustment Coder (CRC) from AAPC is preferred
An RN or LVN must obtain both CPC and CRC within 12 months of hire
Must be proficient in Prospective, Retrospective, and Concurrent review processes
Must have strong clinical knowledge of disease pathology and ability to identify clinical indicators related to chronic disease

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Subject matter experts for proper risk adjustment coding and CMS data validation
Work in conjunction with other departments, including Provider Relations, Quality, and the Medical Director, to ensure compliance with CMS risk adjustment guidelines
Analyze MRA data to identify patterns and development of provider and market-level interventions to coordinate an educational work plan for providers
Conduct provider education and training regarding risk adjustment to help ensure accurate CMS payment and improve care quality
This includes training venues such as provider offices, hospitals, webinars, conference calls, email correspondence, etc
Responsible for building positive relationships with assigned Physicians and serving as a contact for any questions or concerns that may arise
Identify those Practices that need initial or ongoing additional training
Perform other duties as necessary

Fulltime

Value Based Coder II

The Value Based Coder II is an experienced professional within the Quality Manag...

Location

United States , Houston

Salary:

25.30 - 35.74 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Bachelor’s degree in healthcare or equivalent work experience and/or 5 years of related job or industry experience in lieu of degree
Certified Professional Coder (CPC) from AAPC, OR Certified Coding Specialist (CCS) from AHIMA, OR Certified Risk Adjustment Coder (CRC) from AAPC
2+ years of experience in outpatient coding
2+ years focused on risk adjustment and HCC principles
Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC coding guidelines and risk adjustment models
Strong understanding of federal and state guidelines on all coding systems and sponsored programs
Proficiency in developing and delivering educational content
Effective interpersonal, communication, and presentation skills (both verbal and written)
Ability to manage multiple priorities and work independently
Computer literacy in medical information systems, records management software, and encoder software

Job Responsibility

Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC
Validate the accuracy and completeness of HCC documentation and coding
Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns, trends, and opportunities for improvement related to HCC capture
Develop and deliver effective education materials and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture
Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles
Compliance & Regulatory Insight: Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education efforts
Champion a culture of compliance by advocating for best practices and providing robust provider support to ensure CommonSpirit adheres to all federal and coding guidelines pertaining to HCC and risk adjustment
Safeguard medical records and preserve the confidentiality of personal health information through adherence to all relevant policies
Process Improvement & Collaboration: Actively participate in network performance improvement initiatives, offering insights and solutions based on coding expertise
Collaborate with providers and office staff to address documentation deficiencies and coding gaps

What we offer

medical
prescription drug
dental
vision plans
life insurance
paid time off
tuition reimbursement
retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

Senior Quality Analyst

We’re building a world of health around every individual — shaping a more connec...

Location

United States

Salary:

46988.00 - 112200.00 USD / Year

CVS Health

Expiration Date

March 20, 2026

Requirements

Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing
Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required
Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 5 years for CPC
CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required
CPMA (Certified Professional Medical Auditor) or CDEO (Certified Documentation Expert Outpatient) preferred
Experience with International Classification of Disease (ICD) codes required
Expertise in medical documentation, fraud, abuse and penalties for documentation and coding violations based on governmental guidelines
Bachelor's degree preferred specialized training/relevant professional qualification, or equivalent work experience

Job Responsibility

Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the submission to the Centers of Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures
Contributes to compliance reporting and documentation, highlighting findings, recommendations, and areas of concern to be delivered to coding resources
Demonstrated ability to apply coding judgment and make decisions using industry-standard evidence and tools, exercising independent judgment to determine final outcomes prior to submission with minimal supervision
Adhere to stringent timelines consistent with project deadlines and directives
Demonstrates a strong commitment to enhancing and promoting quality
consistently delivers accurate and thorough work, and supports others in achieving the same standards through effective mentoring and instruction
Serves as the training resource and subject matter expert to vendors, providers and other team members for questions regarding ICD coding and documentation requirements
Comprehensive knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity
Identify and communicate documentation deficiencies to allow for continuous education opportunities for providers, vendors and peers
Expertise in medical documentation, fraud, abuse and penalties for documentation and coding violations based on governmental guidelines

What we offer

Affordable medical plan options
a 401(k) plan (including matching company contributions)
an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Fulltime

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Coding Data Quality Auditor, Analyst

Responsible for performing quality inter-rater review audits of medical records ...

Location

United States

Salary:

21.10 - 44.99 USD / Hour

CVS Health

Expiration Date

March 27, 2026

Requirements

CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required
Experience with International Classification of Disease (ICD) codes required
Minimum of 3 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing
Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required
Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications)
BA/BS or equivalent experience
Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 3 years for CPC
5-8 years encompassing additional credentials and/or application of credentials

Job Responsibility

Perform quality inter-rater review audits of medical records coded by internal team
Ensure ICD-10 codes submitted to CMS for risk adjustment are appropriate, accurate, and supported
Support coding judgment using industry standard evidence and tools
Communicate evidence across stakeholders
Lead dispute resolution
Mentor and provide education to internal staff based on audit findings
Communicate audit process and results to appropriate departments and management
Conduct process audits to ensure compliance
Identify and recommend opportunities for process improvements
Work independently and in cross functional teams

What we offer

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
No-cost tobacco cessation programs
No-cost weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules

Fulltime

Coding Data Quality Auditor

We’re building a world of health around every individual — shaping a more connec...

Location

United States

Salary:

18.50 - 38.82 USD / Hour

CVS Health

Expiration Date

March 31, 2026

Requirements

Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding, and/or auditing
Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 1-2 years for CPC
CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required
CRC (Certified Risk Adjustment Coder) or obtain within 6 months
Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications)
Experience with International Classification of Disease (ICD) codes required
Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred
AA/AS or equivalent experience

Job Responsibility

Perform audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures
Support coding judgment and decisions using industry standard evidence and tools
Abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting
Establish medical necessity
Identify clinically active vs. historical conditions
Ensure diagnosis codes are appropriate, accurate, and supported by clinical documentation
Utilize medical records to ensure support is documented for etiology and manifestations of disease processes
Adhere to stringent timelines consistent with project deadlines and directives
Conduct self- process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body

What we offer

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance

Fulltime

Hcc coder

Access Healthcare LLC

Location:
India , Chennai

Category:
IT - Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
December 14, 2025

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Hcc coder

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Job Description:

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Job Posted:December 14, 2025

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