Abhijeet Yadav

• Delivered consistently high productivity and quality in IP coding.
• Demonstrated accuracy, compliance, and deep understanding of ICD-10-PCS.
• Document Analysis of all available physician verified documents in medical record using the EMR and coding via 3M Encoder.
• Queries for conditions like CHF, Pneumonia, Malnutrition, Complicated Relationship query, Pathology Significance and CC and MCC signicance Queries.
• Proficient in CAC, 3M Encoder
• Assignment of principal diagnosis, secondary diagnosis and PCS codes based on clinical workup, clinical criteria, client requirement with correct Discharge Disposition.

HCC experience

• Performed HCC risk adjustment coding using ICD-10-CM guidelines, supporting accurate RAF score capture for Medicare Advantage patients.
• Reviewed provider documentation to identify and code secondary and chronic conditions, applying basic ICD-10-CM conventions and MEAT criteria.
• Used Codify and Drugs.com to validate diagnoses, medications, and clinical indicators for compliant HCC coding.
• Gained exposure to TruBridge risk adjustment workflows, strengthening understanding of payer-specific requirements and audit expectations.
• Built a strong foundation in guideline-based coding, which supported a successful internal transition to inpatient IPDRG coding.