Risk Adjustment Coder

Job Description

🏢Company: Reveleer
📍Location: Chennai, Tamil Nadu, India 🇮🇳
💼Job Type: Full-time 💼
🏢Work Mode: On-site 🏢
⏳Experience: 2+ Years 💼
🎓Education: Bachelor’s degree in Life Sciences, Nursing, Pharmacy, or a related field
💰Expected Salary: ₹6 – ₹9 Lakhs Per Year💰
📊Job Category: Medical Coding, Healthcare, Risk Adjustment, HCC Coding, Clinical Documentation 🌐
🌐Website: Website
📞Contact: Contact us

🌟Accuracy Is Where Healthcare Data Becomes Meaningful.

In risk adjustment coding, every diagnosis tells part of a patient’s clinical story.

The challenge is making sure that story is translated accurately into ICD-10-CM codes, HCC classifications and compliant risk adjustment data.

Reveleer is looking for a Risk Adjustment Coder in Chennai who can combine clinical understanding, coding expertise and attention to detail to review medical documentation and support accurate HCC coding.

If you understand CMS guidelines, RAF calculations and clinical documentation, this role puts that expertise into a healthcare technology environment where accuracy directly matters.

🌟About Reveleer:
Reveleer is a healthcare technology company focused on value-based care, bringing together clinical intelligence, risk adjustment, quality improvement and member management through technology and AI-powered solutions.

Its risk adjustment platform supports medical record retrieval, diagnosis identification, HCC optimization, coding workflows and compliant submissions for healthcare organizations.

For professionals interested in medical coding, healthcare technology and value-based care, Reveleer offers exposure to the intersection of clinical data and intelligent healthcare systems.

💡About the Role:
As a Risk Adjustment Coder, you will review medical records, charts and physician documentation to identify reportable diagnoses and assign accurate ICD-10-CM codes within Risk Adjustment and HCC models.

You will work with QA and clinical teams, validate documentation, resolve coding discrepancies and help identify opportunities for improved documentation quality.

The role requires a strong understanding of CMS risk adjustment models, HCC mapping, clinical terminology and coding compliance.

📌Key Responsibilities:

• Review medical records, charts and clinical documentation to assign accurate ICD-10-CM diagnosis codes for HCC models.
• Apply CMS, DX-HCC and internal coding compliance guidelines consistently.
• Validate physician documentation and identify potential documentation gaps.
• Collaborate with QA and clinical teams to resolve coding queries and discrepancies.
• Maintain required coding productivity, quality and accuracy standards.
• Participate in audits, feedback sessions and continuous coding training.
• Identify coding trends, risk areas and opportunities for documentation improvement.
• Maintain patient-data confidentiality and follow HIPAA compliance requirements.

🎯Requirements:

• Bachelor’s degree in Life Sciences, Nursing, Pharmacy or a related discipline.
• Minimum 2+ years of experience in Risk Adjustment or HCC medical coding.
• CRC or CPC certification is mandatory.
• Strong understanding of CMS risk adjustment models and ICD-10-CM coding guidelines.
• Solid knowledge of clinical terminology and physician documentation.
• Ability to accurately interpret medical records and translate clinical information into appropriate diagnosis codes.

🌟Preferred Skills:

• Strong knowledge of HCC mapping and risk adjustment coding.
• Excellent analytical and attention-to-detail skills.
• Understanding of RAF score calculation and risk capture.
• Experience with EMR/EHR systems and medical coding platforms.
• Strong written and verbal communication skills.
• Ability to work effectively with clinical, QA and coding teams.
• Commitment to coding accuracy, compliance and continuous learning.

🔥Career Insight:
Risk adjustment coding is becoming increasingly connected to healthcare technology, data quality and value-based care.

Professionals who build strong expertise in HCC coding, ICD-10-CM, CMS guidelines and clinical documentation can develop beyond routine medical coding into areas such as coding quality, clinical validation, risk adjustment auditing, documentation improvement and healthcare analytics.

For a certified coder, this role can strengthen both clinical coding expertise and experience with technology-driven healthcare workflows.