HCC Medical Coder (Dross Coding)

About Agilys Nxt

Agilys Nxt delivers compliant, audit-ready medical coding solutions that improve reimbursement accuracy and reduce operational risk for healthcare organizations across the United States. We support payers, providers, and risk-bearing entities with coding services calibrated to the operational realities of each care setting, building trust through accuracy, turnaround discipline, and a strong quality culture.

We are now scaling our HCC division and hiring 40 coders across four experience bands.

The Role

Work from home with hybrid flexibility. Occasional office presence required for All Hands Meets, training sessions, audits, and team events. Base location: Hyderabad.

We are hiring 40 HCC Medical Coders specializing in Risk Adjustment / Dross Coding, distributed as follows:

• 10 Freshers
• 10 with 1 year of experience
• 10 with 2 years of experience
• 10 with 3 years of experience

As an HCC Medical Coder at Agilys Nxt, you will review patient charts, abstract supportable diagnoses, and assign accurate ICD-10-CM codes that map to the appropriate HCC categories under the CMS-HCC risk adjustment model. You will work within a structured production and quality framework, partnering with senior coders and QA reviewers to deliver coding that withstands client and CMS audit scrutiny.

What You Will Do

• Perform end-to-end HCC coding (Dross coding) on one-page HCC charts in line with CMS-HCC guidelines, ICD-10-CM conventions, and client-specific protocols.
• Apply MEAT criteria (Monitor, Evaluate, Assess, Treat) to validate that each captured condition is fully supported by provider documentation.
• Identify documentation gaps and raise compliant queries that improve coding accuracy and RAF integrity.
• Meet defined productivity targets while sustaining a quality benchmark of 95% or higher.
• Stay current on CMS-HCC model updates (V24, V28) and incorporate changes into daily coding practice.
• Support audit readiness by maintaining clean, defensible coding rationale on every chart.
• Contribute to daily and weekly reporting on volume, accuracy, and turnaround.

Who We Are Looking For

• Education in Life Sciences, Pharmacy, Nursing, BPT, BDS, BHMS, BAMS, or an equivalent allied health discipline.
• Experienced candidates (1 year and above) should have hands-on HCC or Risk Adjustment coding experience across Medicare Advantage, Commercial, or ACA populations.
• Working knowledge of ICD-10-CM, anatomy, physiology, medical terminology, and disease pathology.
• Familiarity with EMR systems and production coding platforms.
• AAPC certification (CPC, CRC) or AHIMA certification (CCS) preferred. CRC is strongly preferred for the 2 and 3-year bands.
• Freshers must have completed a recognized medical coding training program. Certification is an advantage.
• Sharp eye for detail, sound clinical reasoning, and the ability to work steadily within SLA-driven timelines.
• Reliable home work setup with stable internet, suitable for handling PHI in line with HIPAA requirements.

Why Join Us

• Work from home flexibility with the collaborative benefits of periodic in-person engagement.
• Be part of a focused 40-coder HCC team with clear progression paths from Coder to Senior Coder to QA to Team Lead.
• Continuous training on CMS-HCC model transitions, client guidelines, and certification preparation.
• Performance-linked incentives and certification reimbursement.
• A quality first culture where mentorship and audit feedback drive growth.