Qualifications: 

• Graduate in Life science, Paramedical (BPT, BOT, B.SC Nursing) preferred
• Experience: 4 to 6 years of experience with HCC Risk Adjustment 
• CRC / CPC / CCS / COC certification – Any one Mandatory

Additional Skills: 

• HCC coding experience
• Strong Knowledge of ICD-10 CM and HCC coding guidelines
• Previously clinical background preferred but not mandate
• Strong personal and professional ethics 
• Excellent communication skills both written and verbal 

Key Functions and Responsibilities: 

• Review coded medical records for auditing as outlined per Client specific guideline
• Achieve quality and production targets defined per client project
• Follow all project related protocols, procedures and instructions as documented and instructed by manager
• Update all the logs, i.e. productivity, clarification, audit and error and others as applicable
• Record the feedback as appropriate and provide real time feedback to coders.
• Conducting Error Feedback session with Coders.
• Securing ATA quality at 98%.
• Meeting the defined samples per projects
• Comply with EXL, HIPAA, and other regulations and guidelines related to patient confidentiality and protocols for client information
• Check with Manager for issue resolution and clarification as needed

• Working Hours:

8 hours

• Skills and abilities:

Basic Knowledge in MS office