BHAVAN RAJ
Coimbatore
Summary
Certified Risk Adjustment Senior Medical Coder with 5 years of experience in ICD-10-CM and HCC coding across Medicare, Medicaid, and Commercial health plans. Skilled in risk adjustment, documentation review, second-level QA review, auditing, and accuracy improvement. Proven ability to mentor junior coders, improve team performance, and support compliance-driven healthcare operations.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Coding Analyst
Optum Healthcare
Coimbatore
09.2025 - Current
- Performs Second-Level Review, ensuring accuracy and quality in coding outputs.
- Maintains consistent accuracy in chart delivery and documentation review.
- Supports and supervises junior coders to strengthen their skills and development.
- Enhances overall team performance through coaching and feedback.
Senior Medical Coder
Cotiviti Healthcare
Coimbatore
04.2023 - 09.2023
- Delivered 96%+ accuracy in HCC coding.
- Conducted comprehensive chart reviews for improved documentation quality.
- Ensured compliance with ICD-10-CM and risk adjustment guidelines.
- Contributed to development of internal coding policies and QA workflows.
- Provided technical guidance for complex charts.
Executive Medical Coder
CorroHealth
Chennai
11.2020 - 03.2023
- Performed ICD-10-CM and HCC coding for multiple risk adjustment projects.
- Achieved consistent productivity with strong accuracy.
- Ensured documentation completeness and CMS guideline compliance.
- Assisted in audit and QA activities.
Education
B.Sc. - Computer Science
PSG College of Arts & Science
Coimbatore01.2020
Higher Secondary -
Shri K.K. Krishnaswamy Naidu Memorial
Coimbatore01.2017
Skills
- ICD-10-CM Coding
- HCC / Risk Adjustment Coding
- Second-Level Chart Review
- Medicare, Medicaid & Commercial Plans
- Chart Navigator
- Code Logix
- Medical Terminology
- Anatomy & Physiology
- Documentation Quality & Compliance
- Performance Optimization
- Team Support & Training
Websites
Certification
- CRC - Certified Risk Adjustment Coder
- LSSYB - Lean Six Sigma Yellow Belt
Timeline
Coding Analyst
Optum Healthcare
09.2025 - Current
Senior Medical Coder
Cotiviti Healthcare
04.2023 - 09.2023
Executive Medical Coder
CorroHealth
11.2020 - 03.2023
B.Sc. - Computer Science
PSG College of Arts & Science
Higher Secondary -
Shri K.K. Krishnaswamy Naidu Memorial