Medical Coder

Medical Coder

Edifecs is looking for enthusiastic and detail-oriented Medical Codersspecialized in HCC Risk adjustment coding. This role is open to experienced professionals with a passion for accuracy and a drive to excel in the field of Medical coding.

What you will do:

• Review and analyze patients medical records (charts and encounters) for accurate coding
• Abstract and capture of Risk adjustable ICD codes and other relevant information from patients Medical records.
• Work on Prospective, Concurrent or Retrospective HCC coding projects in line with CMSs standard Coding guidelines for Medicare and Commercial health plans.
• Review claims data against medical records for validation and provider documentation gaps.
• Organize and prioritize the work to ensure that medical records are coded in a timely manner with accuracy and in compliance with regulatory and client coding guidelines.
• Compliance with HIPAA polices and procedures for confidentiality of ePHI data.
• Examining documents for missing information.
• Familiarity with the coding systems and code sets, including,, and
• Ability to spot inaccuracies or inconsistencies in medical records and ensure precision
• Capacity to interpret and understand complex medical information from patient records
• Ability to work on coding software, and relevant tool to perform medical coding

What you will bring:

• Bachelors degree (or equivalent) in Life science/health information systems or related field.
• 3+ years of work experience as a medical coder
• Knowledge in Human Anatomy, Physiology and familiar with medical terminologies
• CPC or CRC certification that is currently active
• At least 2 years of experience in HCC coding projects
• Strong knowledge in HCC coding guidelines
• Familiar with First pass, Second pass and Claims validation projects
• Familiar with Prospective or Retrospective coding using coding tools/blind coding
• Proficient computer skills.
• Excellent communication skills, both verbal and written.
• Strong people skills.
• Outstanding organizational skills.
• Ability to maintain the confidentiality of information.