Location: Noida Sector 62 (Hybrid)Medical Coding ManagerIncuvio is seeking an experienced HCC Coding Manager to lead our risk adjustment coding operations while also contributing directly as a high-performing individual coder. This hybrid role requires strong expertise in HCC/Risk Adjustment coding, team leadership, and coding quality management.The ideal candidate will oversee a team of HCC coders, ensure documentation integrity, manage hiring and training, and uphold compliance across all coding activities.Key Responsibilities- Review and code patient medical records using accurate ICD-10-CM and HCC classifications. - Validate diagnosis capture, chronic conditions, and disease specificity for Risk Adjustment. - Identify documentation gaps and recommend improvements to providers and internal teams. - Perform coding audits and ensure the highest levels of accuracy and compliance. - Lead, mentor, and oversee a team of HCC medical coders. - Build and scale the coding team through effective hiring, onboarding, and training. - Set performance standards, track coder productivity, and provide continuous feedback. - Plan and execute team development programs, ongoing education, and skill enhancement. - Conduct periodic quality checks and implement corrective action plans where necessary. - Collaborate with providers, QA teams, and clinical leadership to optimize documentation quality. - Establish SOPs, workflows, and quality assurance processes for HCC coding operations. - Support denial management, coding-related appeals, and revenue cycle improvements. - Analyze coding data to identify trends, gaps, and opportunities for improvement. - Ensure compliance with CMS, Medicare Advantage, HIPAA, and state regulations. - Stay updated with coding guideline changes, RADV audit requirements, and payer policies.Qualifications- Certified Risk Adjustment Coder (CRC) - Additional certifications like CPC, CCS, and CCA are a plus. - 10+ years of hands-on HCC/Risk Adjustment coding experience. - Prior experience leading or managing a coding team (preferred but not mandatory for strong ICs ready to step up). - Strong understanding of ICD-10-CM, documentation integrity, and HCC capture. - Excellent communication, leadership, and analytical skills. - Ability to manage deadlines, ensure accuracy, and drive continuous improvement.
Job Title
Medical Coding Manager( HCC)