ISHWARYA R
Triplicane
Summary
Experienced HCC Medical Coder with over 3yrs years of experience in risk adjustment coding and comprehensive knowledge of HCC models and guidelines. Proficient in ICD-10-CM coding, with a strong understanding of medical terminology, anatomy, and pathophysiology. Adept at accurately capturing patient health status to ensure proper risk adjustment and reimbursement. Detail-oriented and committed to maintaining compliance with federal regulations and coding standards.
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
4
4
years of professional experience
Work History
Medical Coder
Pro1
Chennai
02.2025 - 01.2026
- Reviewed and categorized medical records for accurate coding.
- Utilized coding software to assign appropriate codes for diagnoses.
Pink fitness
Nutrition come front desk
Chennai
04.2022 - 05.2023
- Completed day-to-day duties accurately and efficiently.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Medical Coder
MEDLEARN VISION RCM
- Worked in projects such as APIXIO, INNOVALON, CENTAURI.
- Conduct comprehensive reviews of medical records to assign accurate ICD-10-CM codes for HCC risk adjustment.
- Educating guideline updates to juniors.
- Responsible for checking production count on team members daily.
- Maintain 95 % of quality.
Medical Coder
CLARUS RCM
- Worked in projects such as APIXIO, CIOX, AETNA.
- Participate in internal audits and quality assurance processes to maintain coding accuracy.
- Provide training and support to new coding staff on HCC guidelines and best practices.
- Having exposure to Google sheets for maintaining team members production and quality.
- Having experience in interaction with clients regarding new guideline updates.
- Ensure proper documentation of chronic conditions to reflect accurate patient health status and risk scores.
Education
M.Sc - Food Services Management and dietetics
B.Sc - Nutrition and Dietetics
Skills
- Adaptability
- Auditing and Quality Assurance
- Staying Updated
- Decision making
- Ability to deal with people diplomatically
- Teamwork
- Attention to detail and problem solving
- Strong organizational and time management skills
- Medical coding
- ICD-10-CM coding
- Quality assurance
- Problem resolution
- Time management
Languages
- Tamil
- English
- Tamil
Job Title
Medical Coder
Languages
English
Advanced
C1
Timeline
Medical Coder - Pro1
02.2025 - 01.2026
Pink fitness - Nutrition come front desk
04.2022 - 05.2023
Medical Coder - MEDLEARN VISION RCM
Medical Coder - CLARUS RCM
Prof. Dhanapalan college of arts and sciences - M.Sc, Food Services Management and dietetics
- B.Sc, Nutrition and Dietetics