Job Title

Medical Coder – Risk Adjustment (RADV Audit Specialist)Chennai (Hybrid)Experience: 4–5 YearsInvent Health IncInvent Health is a Silicon Valley–based healthcare analytics company focused on Risk Adjustment, Coding Intelligence, and NLP-powered chart review solutions. We support leading U.S. health plans across Medicare Advantage, Medicaid, and ACA, processing over 5.5M+ member lives annually.We are expanding our Chennai team and hiring an experienced Risk Adjustment Medical Coder with strong RADV audit expertise who is comfortable working in a technology-enabled coding environment.Role OverviewThis role requires deep expertise in risk adjustment coding and RADV audit validation. You will work extensively on Invent Health’s proprietary NLP-powered Coder Workbench, leveraging AI-assisted insights while applying your clinical judgment to ensure CMS-compliant, audit-ready coding.This is NOT a traditional manual coding role — we are looking for coders who can effectively use intelligent tools and maintain high accuracy under audit scrutiny.Key Responsibilities• Perform detailed chart reviews for Medicare Advantage (CMS-HCC V24 & V28) and applicable LOB's.• Conduct RADV-level validation and documentation review• Validate HCC capture, deletions, and documentation support• Ensure adherence to CMS guidelines, ICD-10-CM Official Guidelines & MEAT criteria• Work extensively within IH’s proprietary NLP-enabled Coder Workbench• Review and validate NLP-suggested codes with high precision• Identify unsupported diagnoses and documentation gaps• Support internal QA and audit preparedness initiatives• Analyze coding trends and contribute to quality improvement efforts• Maintain strict HIPAA & PHI complianceRequired Qualifications• 4–5 years of Risk Adjustment Coding experience (Medicare Advantage mandatory)• Hands-on RADV audit experience• Strong understanding of CMS-HCC model (V24; V28 knowledge preferred)• Active certification: CRC / CPC / CCS (CRC preferred)• Strong knowledge of:– RADV medical record validation– MEAT criteria– ICD-10-CM Official Guidelines– CMS documentation standards• Comfortable working in AI/NLP-assisted coding platforms• Experience reviewing large medical records (100+ page charts)• Strong analytical and documentation interpretation skillsPreferred• Experience with technology-enabled coding platforms or coder workbench tools• Exposure to QA frameworks and second-level audit reviews• Experience supporting U.S. health plans• Understanding of encounter data submission (837 exposure is a plus)