LSHC – RADV/HCC Coder | Deloitte
Job Details
Job Title: LSHC – RADV/HCC Coder
Company: Deloitte
Location: Hyderabad, Telangana, India
Job Type: Full-time
Department: Regulatory Healthcare (LSHC)
Shift Timings:
11:00 AM – 8:00 PM IST
2:00 PM – 11:00 PM IST
Requisition Code: 358987
Experience Required: 2+ years
Estimated Salary Package (Market Standard): ₹6.0 – ₹12.0 LPA (depending on certification, HCC/RADV experience, and healthcare coding expertise)
About Deloitte
Deloitte is a global professional services organization providing consulting, risk advisory, audit, tax, and technology services. The Regulatory Healthcare team supports healthcare organizations in improving compliance, operational efficiency, coding accuracy, and risk management.
Job Purpose
The RADV/HCC Coder will be responsible for reviewing Medicare and ACA risk adjustment charts and claims, validating ICD-10-CM coding accuracy, identifying documentation gaps, supporting Risk Adjustment Validation (RADV) audits, and ensuring compliance with CMS guidelines.
Key Responsibilities
Risk Adjustment Coding & Chart Review
Review medical charts and claims to evaluate the accuracy and appropriateness of ICD-10-CM coding.
Perform retrospective chart and claim reviews for Medicare and ACA risk adjustment programs.
Identify coding errors, documentation gaps, and opportunities for risk-adjustable diagnosis recapture.
Assign appropriate ICD-10-CM codes and map diagnoses to applicable risk adjustment models.
HCC & RADV Activities
Perform Risk Adjustment Validation (RADV) reviews as required by regulatory agencies.
Support HCC validation activities requested by internal and external stakeholders.
Analyze documentation to validate Hierarchical Condition Categories (HCCs).
Participate in quality validation audits conducted by third-party organizations.
Documentation & Compliance Review
Identify unclear, incomplete, or insufficient clinical documentation affecting coding accuracy.
Recommend improvements in documentation practices.
Apply CMS-HCC risk adjustment models and coding guidelines.
Maintain knowledge of Medicare, ACA, Medicaid, and healthcare reimbursement regulations.
Reporting & Data Analysis
Analyze coding audit findings and identify trends.
Prepare summary reports for clients and internal teams.
Track progress of documentation and coding accuracy improvement plans.
Use monitoring tools to report review outcomes and compliance metrics.
Required Qualifications
2+ years of experience in:
HCC Coding
Risk Adjustment Coding
RADV Review
Active coding certification from:
AHIMA (CRC, CCS, etc.)
AAPC (CRC, CPC, COC, etc.)
Experience with:
ICD-10-CM coding review
Medicare and ACA risk adjustment charts
CMS-HCC Risk Adjustment Model
CMS coding and documentation guidelines
Experience performing coding audits for:
Inpatient claims
Outpatient claims
Professional claims
Experience using:
Electronic Medical Record (EMR) systems
Encoder tools such as Epic, 3M, or TruCode
Advanced proficiency in:
Microsoft Excel
Microsoft PowerPoint
Preferred Qualifications
Prior healthcare consulting experience.
Degree in Medicine or allied healthcare fields.
Experience handling regulatory healthcare audits.
Strong understanding of healthcare documentation standards.
Knowledge of reimbursement and risk adjustment processes.
Preferred Skills
HCC Coding.
RADV Audit Review.
Risk Adjustment Coding.
ICD-10-CM Coding.
CMS-HCC Model Knowledge.
Medical chart abstraction.
Clinical documentation review.
Healthcare compliance.
Coding quality audits.
EMR and encoder tools.
Data analysis and reporting.
Microsoft Excel and PowerPoint.
Communication and stakeholder management.
One-Line Experience
Candidates with 2+ years of experience in HCC/Risk Adjustment coding, RADV audits, ICD-10-CM chart review, and active AHIMA/AAPC certification are preferred.
Salary Package
Estimated CTC: ₹6.0 – ₹12.0 LPA
Entry Level (2+ Years): Around ₹6 – ₹8 LPA
Experienced Coders with CRC/CPC Certification: Around ₹8 – ₹12 LPA+
(Actual compensation may vary based on Deloitte’s internal salary structure, certification level, and relevant healthcare coding experience.)
Why Join Deloitte?
Opportunity to work with a global healthcare consulting organization.
Exposure to Medicare, ACA risk adjustment, and regulatory healthcare projects.
Work with experienced professionals in healthcare compliance and analytics.
Strong learning and professional development opportunities.
Access to global projects and career growth pathways.
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Frank Scottile Blvd |Missouri :
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