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Conducted targeted audits on high-risk claims, identifying coding corrections that resulted in $10 reclaimed for overlooked diagnoses.
Improved bill payment timeliness by developing flexible payment plans for patients.
Was in charge of financial documents like expense reports and invoices.
Championed coding best practices.
Collaborated with the IT department to enhance system functionality for risk adjustment coding workflows, boosting overall efficiency by 64%.
Contributed proactive coding suggestions for telehealth services during the pandemic that boosted accuracy by 65% and ensured compliance.
Achieved a Top Performer for exceeding end-of-year risk adjustment targets by implementing streamlined coding methodologies and reducing backlogs.
Applied knowledge consistently across 2023+ coding projects.
Cross-referenced patient history, symptoms, and physician notes.
Conducted feedback sessions with physicians and coders.

Dedicated to streamlining organizational procedures in order to improve office environments.
Boosted overall revenue performance.
Within Healthcare, senior HCC Coder and outstanding performer in data analysis and quality assurance.
Achieved a 61% reduction in claim rejections.
Achieved a 15% improvement in chronic condition identification.
Adept at cross-functional collaboration.
Recognized on a regular basis for outstanding performance and contributions to the Healthcare industry's success.
HCC Coder is a well-organized HCC Coder who is well-versed in healthcare processes and administrative requirements.
HCC Coder with 5 years of experience in process industry is meticulous.
Achieved consistent adherence to CMS guidelines.

Implemented a chronic disease surveillance program, enhancing the quality of coding for conditions such as CHF and hypertension, resulting in improved patient outcomes.
Trained new coders on Medicare risk adjustment protocols and HCC coding processes, improving team efficiency by 65% within several months.
Led a team of 10 coders, overseeing audit periods and ensuring accuracy targets were consistently exceeded by 74%.
Documented and resolved program which led to system.
Utilized specialized coding certification Six Sigma to ensure compliance with industry standards, leading to improved audit performance and reduced payer rejections.
Resolved product issue through consumer testing.
Collaborated with team of 5 in the development of program.
Standardized HCC coding protocols across 7 departments, reducing month-end review discrepancies by 67%.
Generated actionable reports from coding and clinical data, enabling leadership to enhance risk stratification accuracy and improve patient care delivery.
Processed 4 patient charts per day with a 54% accuracy rate, ensuring efficient coding turnaround during high-volume periods.