Certified Risk Adjustment Coder (CRC)

Job Title: CRC Coder

Location: Kochi, Kerala (Hybrid)
Job Type: Full-Time
Experience: Minimum 2 years in Risk Adjustment / HCC Coding

About the Role

We are seeking a skilled and detail-oriented CRC Coder to join our team. The ideal candidate will have hands-on experience in ICD-10 coding for Hierarchical Condition Categories (HCCs) and a strong understanding of documentation accuracy and compliance standards. Youll play a key role in ensuring data integrity and supporting our value-based care initiatives through precise and compliant coding practices.

Key Responsibilities

• Medical Record Review:
  
  Analyze clinical documentation to ensure accuracy, completeness, and proper code capture.
• Code Assignment: Assign accurate and compliant ICD-10 codes for diagnoses and procedures, with emphasis on HCC and risk adjustment coding.
• Documentation Analysis: Identify documentation gaps and provide feedback to healthcare providers and internal teams for improvement.
• Quality & Compliance: Adhere to official coding guidelines, payer regulations, and HIPAA standards, maintaining high levels of accuracy and productivity.
• Provider Collaboration: Communicate with healthcare providers to clarify or obtain necessary clinical details for correct code assignment.
• Auditing: Conduct internal audits of coded charts to ensure coding accuracy, support claim integrity, and assist in resolving discrepancies or appeals.
• Continuous Improvement: Stay current with industry updates, coding regulations, and payer-specific requirements.

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Qualifications & Requirements

• Bachelor’s degree or equivalent in healthcare, life sciences, or related field.
• Minimum 2 years of experience in CRC / Risk Adjustment / HCC coding.
• Certification: CRC (AHIMA or AAPC certified preferred).
• Strong knowledge of ICD-10-CM guidelines and risk adjustment methodologies.
• Experience working with EHR systems and coding software.
• Excellent attention to detail and analytical skills.
• Good communication and collaboration skills.