Summary
Overview
Work History
Education
Skills
Timeline
Generic

JYOTI RAI

Kushinagar

Summary

Skilled Medical Coder with expertise in risk adjustment coding and hierarchical condition categories (HCC). Proficient in ICD-10 coding, CMS compliance, medical terminology, and EHR systems. Known for delivering accurate, efficient, and well-documented coding solutions to meet industry standards.

Overview

3
3
years of professional experience

Work History

Medical-coding-specialist

Optum Health And Technologies
05.2024 - Current

- Reviewed and analyzed medical records to assign accurate ICD-10 codes in alignment with HCC risk adjustment guidelines.
- Ensured coding compliance with CMS regulations, company policies, and industry standards.
- Conducted detailed reviews of medical records to validate coding accuracy and address documentation gaps.
- Utilized EHR systems and coding tools effectively to maintain accurate and up-to-date records.
- Stayed updated on project-specific guidelines, regulatory changes, CMS policies, and risk adjustment standards.
- Applied in-depth knowledge of ICD-10-CM codes, accurately coding chronic conditions, comorbidities, and other diagnoses.

Quality Control Microbiologist

Torrent Pharmaceuticals
04.2022 - 09.2023

- Performed microbiological analysis of raw materials, finished products, and water to ensure compliance with quality standards.
- Prepared and maintained detailed reports, records, and documentation of test results.
- Ensured adherence to GMP, GLP, and company quality control protocols.

Education

Master of Science - APPLIED MICROBIOLOGY AND FOOD TECHNOLOGY

BANASTHALI VIDYAPITH
RAJASTHAN
07-2019

Bachelor of Science - BOTANY,CHEMISTRY,ZOOLOGY

St. Joseph's College For Women (DDUGU)
Gorakhpur, India
01-2019

INTERMEDIATE IN SCIENCE(CBSE) -

Sanskriti Public School
Gorakhpur, India
01-2015

HIGH SCHOOL(CBSE) -

Nav Jeevan Mission School
TAMKUHI ROAD , INDIA
01-2013

Skills

    - Proficient in ICD-10 Coding and HCC Risk Adjustment
    - Strong knowledge of Medical Terminologies and Anatomy
    - Expertise in EHR Systems and Coding Softwares
    - Exceptional Attention to Detail and Accuracy
    - Effective Communication and Interpersonal Skills
    - Advanced Problem-Solving and Critical Thinking Abilities
    - Excellent Time Management and Organizational Skills

Timeline

Medical-coding-specialist

Optum Health And Technologies
05.2024 - Current

Quality Control Microbiologist

Torrent Pharmaceuticals
04.2022 - 09.2023

Master of Science - APPLIED MICROBIOLOGY AND FOOD TECHNOLOGY

BANASTHALI VIDYAPITH

Bachelor of Science - BOTANY,CHEMISTRY,ZOOLOGY

St. Joseph's College For Women (DDUGU)

INTERMEDIATE IN SCIENCE(CBSE) -

Sanskriti Public School

HIGH SCHOOL(CBSE) -

Nav Jeevan Mission School
JYOTI RAI