Years of experience: 8

IndiaRisk Adjustment CoderMedical

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Priyanku's Career Path
Senior Medical CoderJul. 2023 -
Jul. 2025
agilon healthSenior Medical Coder
India, 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 au...
Coding ExpertSep. 2021 -
Apr. 2023
IKS HealthCoding Expert
Hyderabad, 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.
Clinical ReviewerFeb. 2021 -
Sep. 2021
Satvasys SolutionClinical Reviewer
India, 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 ...

Priyanku's Posts

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    How I can help you

    Led comprehensive HCC chart reviews, ensuring ≥95% coding accuracy. Managed provider queries with 100% closure in 48 hours. Enhanced documentation for 2000+ encounters monthly, achieving 15% improvement in accuracy. Mentored coders, boosting accuracy by 20%.

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    People I am looking for

    - Healthcare providers - Hospitals - Clinics - Medical billing agencies

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    Experience & Cases

    - Led HCC chart reviews with ≥95% accuracy - Resolved queries with 100% closure in 48 hours - Improved documentation accuracy by 15% - Mentored coders, increasing accuracy by 20% - Worked with Agilon Health, Optum, IKS Health, Cognizant

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    How to contact

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