HCC Coders Job Description
The role of an HCC Coder involves reviewing medical charts and assigning appropriate diagnosis codes based on the documented conditions and treatments. You will work closely with healthcare providers to ensure accurate and timely coding, as well as compliance with coding guidelines and regulations.
Responsibilities
- Review medical charts and documentation to extract relevant information
- Assign appropriate diagnosis codes according to industry standards and coding guidelines
- Ensure accuracy and completeness of coded medical records
- Adhere to compliance regulations and guidelines in coding practices
- Collaborate with healthcare providers to clarify documentation or resolve coding-related issues
- Stay up-to-date with changes in coding guidelines and regulations
Qualifications
- Certification in medical coding, such as Certified Professional Coder (CPC)
- Strong knowledge of medical terminology, anatomy, and physiology
- Familiarity with ICD-10-CM coding guidelines and CMS-HCC coding methodology
- Experience in coding for risk adjustment or HCC coding
- Attention to detail and ability to work with complex medical records
- Excellent analytical and problem-solving skills
- Effective communication and interpersonal skills
Skills
- Certified Professional Coder (CPC)
- Medical terminology
- Anatomy and physiology
- ICD-10-CM coding
- CMS-HCC coding methodology
- Risk adjustment coding
- Attention to detail
- Analytical skills
- Problem-solving skills
- Communication skills