An HCC coder is an individual who reviews medical charts to perform coding work and ensures that compliance with established protocols and procedures are maintained, by the medical facilities where he or she is commissioned.
To work as an HCC coder, you must be certified through AHIMA or AAPC, and possess at least a few years of experience in medical coding.
Usually, a coding test is administered to see if the applicant is worth the facility’s time and money, based on which it is decided if the person will be hired on as an HCC coder.
As far as formal education goes, you do not need to possess more than a high school diploma or a GED if you possess the necessary licensure or certification.
Other requirements to work as an HCC coder include excellent leadership qualities, solid knowledge of Medicare risk management coding, and exposure to CPC, COC, CCS, and RHIT protocols.
Working as an HCC coder means that you will most likely be doing a lot of educating and training.
This means that you will be in a constant leadership role, where your main responsibility will be to ensure that coders are properly trained and that their work is accurate and complete.
Some other duties of an HCC coder include:
Sample Job Description for HCC Coder Resume
• Review medical records and decipher if they are accurate and complete, accurate, and in support of patient risk adjustment score accuracy.
• Educate providers and their staff in Medicare coding guidelines, with a special focus on revenue enhancement opportunities.
• Develop plans and materials that support the educational and training needs of the medical practice, by collaborating with internal departments.
• Oversee medical records and correct incomplete or incorrect codes for both active and previous conditions.
• Review the medication list to verify if there is a correlating condition or if an active condition is being treated with medication.
• Ascertain that all specialist and hospital consults and lab, radiology, and pathology reports are properly reviewed.
• Audit documentation including confirming each condition or screening that is marked as assessed.
• Communicate with providers to ensure that correct codes are chosen and add required updates.
• Provide coding and guideline education to all coders and providers.
• Perform chart reviews, aimed at identifying missed diagnoses in all applicable healthcare settings.
• Ascertain that coding efficiency and accuracy are improved by performing independent audits of physician and hospital records.
• Develop tools and metrics to ensure that the accuracy and completeness of coding and documentation are improved.