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Work Background
agilon healthSenior Medical Coder
Jul. 2023 - Jul. 2025India, BengaluruLed prospective, concurrent, and retrospective HCC chart review projects, reviewing 120–150 encounters per shift with ≥95% coding
accuracy, contributing to risk adjustment compliance and audit readiness.
Initiated and resolved provider queries on clinical documentation discrepancies with a 100% closure rate within the standard
turnaround time (TAT) of 48 hours, ensuring coding accuracy and audit readiness.
Utilized EPIC, eClinicalWorks (eCW),
Athena, and CORE systems to review and optimize clinical documentation, contributing to
improvement in risk score accuracy and documentation compliance across 2000+ patient encounters monthly.
Conduct monthly provider documentation reviews and deliver targeted coding education sessions, resulting in a minimum 15%
improvement in documentation accuracy over six months.
Mentored and assisted junior coders, resulting in a 20% increase in their coding accuracy and consistent achievement of
productivity benchmarks within 3 months.
IKS HealthCoding Expert
Sep. 2021 - Apr. 2023Hyderabad, Telangana, IndiaWell Experienced in working for Concurrent & Retrospective Coding review process in HCC Risk adjustment domain. Worked with Client PRIVIA (USA) on Concurrent, Retrospective & Unbilled Dx projects. Responsible to verify risk adjustment (HCC) codes for correct billing and reimbursement. Query and educating provider on conflicting medical documents.
Satvasys SolutionClinical Reviewer
Feb. 2021 - Sep. 2021India, AhmedabadPerformed detailed reviews of clinical documentation for coding completeness and HCC relevance, ensuring 95% + accuracy in HCC
capture and contributing to a 15% improvement in risk score accuracy across 1500+ charts monthly.
Engaged in provider queries and clinical data clarification, achieving a 95% query response rate and resolving discrepancies within a
48-hour TAT to support accurate and compliant coding.
UnitedHealth GroupCertified Medical Coder
Apr. 2017 - Sep. 2020Karnataka, IndiaWorked with client OPTUM and Anthem. Responsible to code year to year medical documentation for risk adjustment score.
CognizantMedical Coder
Feb. 2016 - Mar. 2017Chennai Area, IndiaWorked with Client Med-data. Responsible to code medical documentation for Emergency Department Visits.
Emanuel Hospital AssociationMicrobiology Laboratory Technologist
Sep. 2015 - Nov. 2015Tezpur Area, Indiamicrobiology technologist
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