ANAND MAKWANA C.R.C
DEWAS
Summary
Dedicated Senior Medical Coder with 3 years of extensive experience in medical coding, including projects such as HCC, and HEDIS, specializing in Hierarchical Condition Category (HCC) coding. Certified Risk Adjustment Coder (CRC), with a strong understanding of risk adjustment methodologies and CMS regulations. Proven expertise in ensuring accurate coding, optimizing risk adjustment factor scores, and enhancing clinical documentation. Proficient in navigating complex coding scenarios and mentoring junior coders. Committed to upholding high standards of accuracy and compliance to support quality patient care.
Overview
3
3
years of professional experience
Work History
Annona Solution Pvt Ltd
Indore
11.2021 - Current
I have worked on these HCC projects.
- Clarus CHC duration is 6 months.
- WellCare MA duration, 3 months.
- Clarus Apaxio duration, 6 months.
- Blue Shield, duration 6 months.
- Cavo Medicare, PACE, NaviCare, duration 3 months.
- Cavo Commercial, duration: 3 months.
- I design and deliver training for new HCC coders, ensuring they understand coding guidelines. I mentor junior coders to enhance their accuracy and efficiency.
Education
B-Pharmacy - Medical Coder
Modern Institute of Pharmaceutical Sciences
INDORE06-2021
Skills
- HCC Coding and Risk Adjustment: Advanced knowledge of HCC coding methodologies and the implications for reimbursement and patient care
- Coding Systems Proficiency: In-depth experience with ICD-10-CM, with a focus on accuracy and compliance
- Analytical Abilities: Exceptional analytical skills, enabling the identification of trends and discrepancies within coding practices
- HCC Coding Proficiency: Skilled in identifying and coding Hierarchical Condition Categories (HCC) accurately
- Quality Assurance: Experience in conducting coding audits and implementing improvements
- Risk Adjustment Models: Understanding of risk adjustment models and their relevance to reimbursement and healthcare quality
Timeline
Annona Solution Pvt Ltd
11.2021 - Current
B-Pharmacy - Medical Coder
Modern Institute of Pharmaceutical Sciences
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