Hcc coder

An HCC Coder, also known as a Risk Adjustment Coder, plays a crucial role in healthcare by analyzing medical records to identify and classify conditions that impact patient risk and resource utilization, ultimately influencing how healthcare organizations are reimbursed. HCC coding involves reviewing patient medical records, abstracting (extracting) relevant information, and assigning appropriate diagnosis and procedure codes according to national coding guidelines, specifically those used in risk adjustment models.
Key Responsibilities of an HCC Coder:
Abstracting Clinical Information:
Extracting clinically significant diagnoses and procedures from medical records.
Coding Diagnosis and Procedure Codes:
Assigning appropriate ICD-10 and other relevant codes based on documentation and coding guidelines.
Ensuring Compliance:
Adhering to coding guidelines, regulations, and HIPAA compliance.
Quality Control:
Maintaining coding accuracy and productivity standards, often exceeding 95% accuracy.
Collaboration:
Working with healthcare providers and other coding staff to clarify documentation and improve coding practices.
Auditing and Training:
Conducting audits, peer reviews, and providing training on coding and documentation.
Documentation Improvement:
Working to improve documentation accuracy and completeness to ensure accurate HCC coding.
6 months to 4 yrs
Non certified /Certified
Chennai
Wfo