KM. NEHA SINGH

Certified and detail-oriented Subject Matter Expert (SME) in Risk Adjustment Coding, with strong expertise in ICD-10-CM coding, HCC risk adjustment, quality audits, and coder training. Experienced in reviewing and analyzing medical documentation for accurate code assignment, and risk adjustment optimization. Adept in team mentoring, compliance management, query handling, and productivity enhancement. Seeking to leverage SME skills in supporting coding teams, ensuring coding accuracy, and driving revenue cycle success.

Responsibilities include:

• Serving as an SME for risk adjustment coding projects, with a focus on HCC (Hierarchical Condition Categories).
• Conducting audits, second-level reviews, and quality checks to ensure compliance and accuracy.
• Mentoring and providing coding guidance to team members and new coders.
• Handling escalations and clinical documentation improvement support.
• Collaborating with providers and clinical documentation specialists for accurate data capture.
• Conducting knowledge sessions and training workshops for coders.
• Tools: 3M, MRM, Allscripts, EHR, MS Excel, and MS Word.

COMMUNICATION: Collaborating with interdisciplinary teams, including physicians, nurses, and other healthcare professionals, to clarify documentation and resolve coding-related queries.

EDUCATION: Participating in training sessions to enhance coding knowledge and maintain high quality.

Adherence to productivity targets: Meeting or exceeding productivity targets while maintaining accuracy in code assignment.