Highlights:

Skills:Hcc medical coding, Risk adjustment coding

Certification:CPC and CRC from AAPC

Medical coder 11/2023 - current
Agilon health, Bangalore, Karnataka India
Industry: Healthcare
As a Medical Coder at agilon health, I specialize in Hierarchical Condition Category (HCC) coding for the central region of the USA. My role involves ensuring accurate risk adjustment coding, supporting value-based care initiatives, and maintaining compliance with CMS guidelines. I work in a remote capacity, collaborating with cross-functional teams to enhance coding accuracy and optimize patient outcomes.
Key Responsibilities: Review and analyze medical records to assign accurate ICD-10-CM codes based on clinical documentation. Ensure proper HCC coding to support risk adjustment and value-based care models. Conduct concurrent coding for real-time documentation improvement and provider support. Adhere to CMS, AHA, and AAPC guidelines, ensuring regulatory compliance and audit readiness. Work closely with physicians, clinical teams, and auditors to enhance documentation accuracy. Maintain high coding quality and productivity while meeting strict turnaround times. Participate in ongoing education and training to stay updated on industry best practices. Key Achievements: Consistently met or exceeded quality and productivity standards. Assisted in provider education to improve documentation for risk adjustment coding. Collaborated with cross-functional teams to enhance workflow efficiencies--
Team leader - coding services 03/2021 - 11/2023
Corrohealth pvt ltd, Coimbatore, Tamil Nadu India
Industry: Healthcare
As a Team Leader at CorroHealth Pvt. Ltd., I successfully led and managed three diverse teams of 50+ medical coding professionals in the US healthcare sector. I played a pivotal role in ensuring accurate medical coding, team performance, and adherence to coding guidelines across multiple projects. My responsibilities included team leadership, training, and quality assurance to drive exceptional project outcomes.
Key Responsibilities Managed and supervised three distinct teams, collectively comprising over 50 professionals across various medical coding projects. Provided training and mentorship to 80+ medical coders, enhancing their knowledge of ICD-10-CM, CPT, and HCC coding guidelines. Ensured strict adherence to US healthcare coding regulations, including CMS guidelines and HIPAA compliance. Monitored team productivity and implemented quality improvement initiatives to meet or exceed client standards. Collaborated with internal stakeholders to improve workflow efficiency and documentation accuracy. Acted as the primary point of contact between coders, auditors, and client representatives for project updates and performance reviews.--
Senior processing executive - data(coding) 10/2019 - 01/2021
Cognizant technology solutions Pvt Ltd, Bangalore, Karnataka India
Industry: Healthcare
As a Senior Process Executive – Data at Cognizant Technology Solutions, I specialized in medical coding and data management for US healthcare clients. My role involved ICD-10-CM, CPT, and HCC coding, ensuring accurate classification of diagnoses and procedures while maintaining compliance with CMS and HIPAA regulations. I contributed to process optimization, quality assurance, and efficient handling of healthcare data.
Key Responsibilities Performed ICD-10-CM, CPT, and HCC medical coding for diverse healthcare clients. Ensured coding accuracy and compliance with CMS, HIPAA, and payer-specific guidelines. Conducted quality checks and assisted in error resolution to maintain high coding standards. Collaborated with healthcare providers and auditors to clarify documentation and ensure appropriate code assignment. Assisted in process improvements to enhance workflow efficiency and productivity. Used EHR systems and medical coding tools for efficient data processing and coding validation.--
Clinical coder 11/2018 - 09/2019
Synapse Medical Services Pvt Ltd, Chennai, Tamil Nadu India
Industry: Healthcare
Specialized in multi-specialty coding, accurately assigning ICD-10-AM and ACHI codes in compliance with Australian healthcare standards.
Ensured high coding accuracy and adherence to Australian DRG classifications, supporting efficient revenue cycle management. Contributed to the successful execution of Australian healthcare projects, maintaining quality and compliance.--
Medical coder 10/2016 - 08/2018
Episource india Pvt Ltd, Chennai, Tamil Nadu India
Industry: Healthcare
As an Entry-Level HCC Medical Coder at Episource India Pvt Ltd, I gained foundational expertise in Hierarchical Condition Category (HCC) coding for US healthcare clients. My role focused on accurately assigning ICD-10-CM codes, reviewing medical records, and ensuring compliance with CMS Risk Adjustment guidelines to support accurate reimbursement.
Assigned ICD-10-CM codes for HCC risk adjustment coding based on medical documentation. Reviewed medical charts and patient records to capture chronic conditions and ensure correct risk adjustment coding. Ensured compliance with CMS guidelines and maintained coding accuracy. Worked with EHR systems and medical coding tools to extract and validate data. Assisted in quality assurance processes to improve documentation and reduce errors. Collaborated with team members and coding auditors to enhance coding efficiency and accuracy.--

Anna university 06/2012 - 04/2015
Coimbatore, Tamil Nadu, India
Degree: Bachelor's Degree
Major:Biomedical engineering
Bachelor of Science in Biomedical Sciences Anna University, Coimbatore | Graduated: 2015 | CGPA: 7.7 Language of Instruction: English Built a strong foundation in human anatomy, physiology, medical technology, and healthcare systems, with a focus on biomedical applications. Developed analytical and problem-solving skills relevant to medical coding, clinical data analysis, and healthcare compliance.

Thirumoorthi Sivasamy