Deloitte LSHC Careers 2026 | HCC Coder & Outpatient Coder Jobs Hyderabad

📋 Job Overview

• Company: Deloitte
• Practice: LSHC – Life Sciences & Healthcare
• Open Positions: RADV/HCC Coder & Outpatient Coder
• Job Location: Hyderabad, Telangana, India
• Employment Type: Full-Time
• Shift Timings: 11 AM – 8 PM or 2 PM – 11 PM IST
• Experience Required: 2+ Years in HCC Coding / Risk Adjustment
• Required Certification: CRC / CCS / CPC / COC (Active – AHIMA or AAPC)
• Preferred Qualification: Degree in Medicine or Allied Healthcare

💼 Key Responsibilities

• Chart & Claim Review: Review Medicare and ACA medical charts and claims to assess the appropriateness and accuracy of ICD-10-CM coding for risk adjustment programs.
• Retrospective Audit: Perform retrospective chart and claim coding reviews to identify coding errors, documentation gaps, and opportunities to recapture risk-adjustable diagnoses.
• HCC Validation: Assign accurate ICD-10-CM codes, mapping them to appropriate CMS-HCC Risk Adjustment Model categories as applicable.
• RADV Audits: Conduct Risk Adjustment Data Validation (RADV) audits when required by regulatory agencies and support third-party quality validation reviews.
• Trend Reporting: Analyze coding results, identify documentation and coding trends, and prepare summary reports for clients and internal stakeholders.
• Regulatory Monitoring: Monitor CMS guidelines, Medicare/ACA/Medicaid reimbursement policies, and apply relevant updates to current coding and audit workflows.
• Documentation Flagging: Identify encounters where documentation is inadequate, ambiguous, or insufficient for accurate medical coding and communicate findings to clinical teams.

To brush up on ICD-10 coding principles, risk adjustment concepts, and medical coding certification preparation resources, visit our CPC certification guide on how to crack the CPC Certification Exam.

🎓 Required Qualifications & Skills

Mandatory Requirements:

• Experience: 2+ years of direct experience in HCC coding, risk adjustment coding, or RADV review activities.
• Active Certification: Valid CRC (Certified Risk Adjustment Coder), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), or COC from AHIMA or AAPC.
• ICD-10 Expertise: Strong working knowledge of ICD-10-CM coding for Medicare and ACA risk adjustment charts.
• CMS Knowledge: Familiarity with Centers for Medicare & Medicaid Services (CMS)-HCC Risk Adjustment Model and CMS coding guidelines.
• Audit Experience: Experience conducting coding audits for inpatient, outpatient, and/or professional fee claims.
• EMR & Tools: Experience with electronic medical record platforms (Epic) and encoder tools (3M, TruCode).
• Software: Advanced proficiency in Microsoft Excel and PowerPoint.

Preferred:

• Prior consulting experience in healthcare coding or risk adjustment.
• Degree in medicine or an allied healthcare discipline.

For coding professionals exploring how medical coding salaries and career growth trajectories differ across India and the USA, read our comparison on Healthcare Salaries: India vs USA.

🎁 Why Join Deloitte LSHC?

• Work alongside leading healthcare and life sciences professionals on global Medicare and ACA compliance projects.
• Access Deloitte University (DU): The Leadership Center in India for structured career development.
• Comprehensive rewards program with health benefits, wellness support, and paid parental leave.
• Diverse and inclusive workplace culture that encourages professional growth.
• Exposure to multinational healthcare regulatory frameworks and risk adjustment models.

📝 Resume Tips for Deloitte HCC Coder Candidates

• Highlight Certification prominently: Place your active AHIMA/AAPC certification (CRC, CCS, CPC, or COC) at the top of your resume summary section.
• Quantify Audit Volume: State the number of charts or claims reviewed per day/week and your average coding accuracy percentage.
• List Key Tools: Mention EMR systems (Epic), encoder tools (3M, TruCode), and Excel-based reporting dashboards you have used.

💬 Deloitte HCC Coder Interview Questions

• Q1. What is the CMS-HCC Risk Adjustment Model and why is it important?
  Answer Guidance: The CMS-HCC (Hierarchical Condition Category) model is a risk-based payment system used by CMS to adjust Medicare Advantage plan payments based on the health status and demographics of plan members. Accurate HCC coding ensures that insurance plans are appropriately compensated for the cost of treating higher-risk beneficiaries, making it essential for financial accuracy and compliance.
• Q2. What is RADV (Risk Adjustment Data Validation) and what happens during a RADV audit?
  Answer Guidance: RADV is a CMS audit process designed to validate that diagnosis codes submitted by Medicare Advantage Organizations (MAOs) for risk adjustment payments are supported by adequate medical record documentation. During a RADV audit, CMS selects a random sample of beneficiaries, and the MAO must submit supporting medical records. Coders then review whether the submitted HCC diagnoses are documented, coded accurately, and compliant with CMS guidelines.
• Q3. How do you handle a situation where a physician’s documentation is ambiguous or insufficient to support an ICD-10 code?
  Answer Guidance: I would flag the encounter in the audit tool and document the specific deficiency clearly. I would not assign a code that is not supported by the documentation. I would generate a clinical documentation improvement (CDI) query to the treating physician requesting clarification, following the facility’s query policy and AHIMA/AAPC guidelines for compliant query drafting.

📖 How to Apply?

Before submitting your application, please read our step-by-step guidance on how to navigate corporate recruitment portals and format your details:

👉 Read Step-by-Step Application Guide

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❓ Frequently Asked Questions

Q. Is an active coding certification mandatory to apply?
Yes, an active certification from AHIMA or AAPC — such as CRC, CCS, CPC, or COC — is a mandatory requirement for both the HCC Coder and Outpatient Coder roles at Deloitte LSHC.

Q. What are the shift timings for these Deloitte Hyderabad coding roles?
Both positions operate on flexible IST shift schedules: either 11:00 AM – 8:00 PM IST or 2:00 PM – 11:00 PM IST.

Q. What is the difference between the HCC Coder and the Outpatient Coder position?
The HCC Coder (RADV) role focuses specifically on Medicare and ACA Risk Adjustment coding, RADV audits, and CMS-HCC model validation. The Outpatient Coder role focuses on coding review for outpatient clinical encounters and facility claims.