Open to opportunities

akmal shaik

@akmalshaik

Message

HCC coding auditor and clinical documentation specialist improving accuracy and compliance.

Canada

Message

What I'm looking for

I’m looking for an HCC risk adjustment coding/audit role where I can strengthen ICD-10-CM documentation compliance, partner with CDI teams, validate healthcare data accuracy, and continue growing as a CHIM-certified Health Information Management professional in Canada.

I’m a Certified Professional Coder (CPC) with over 7 years of experience in HCC risk adjustment coding, auditing, and clinical documentation review within large healthcare organizations. I focus on strengthening coding precision through careful medical record analysis and rigorous coding compliance.

I’m skilled in ICD-10-CM diagnosis coding, coding compliance & regulatory standards, and identifying documentation gaps that impact data quality. I support Clinical Documentation Improvement (CDI) initiatives and use electronic health records (EHR) coding and risk adjustment data validation to improve accuracy and reduce avoidable coding errors.

In my HCC Auditor work at Optum, I audited medical coding records related to HCC risk adjustment models, reviewing coder-assigned diagnosis codes for documentation support. I maintained approximately 98% audit accuracy while auditing 250–300+ patient charts weekly, and I collaborated with Clinical Documentation Improvement teams to help reduce coding error rates through coder education.

Most recently as an MRA Auditor – HCC at Aanine Healthcare, I reviewed medical records for accurate HCC risk adjustment coding, conducted retrospective and prospective chart audits, and validated ICD-10-CM diagnosis codes against supporting documentation. I prepare audit reports, track coding compliance metrics, and provide targeted feedback to improve coding outcomes—and I’m currently preparing for CHIM certification to expand my expertise in Health Information Management within the Canadian healthcare system.

Experience

Work history, roles, and key accomplishments

Current

Customer Service Executive

Current

Uber

Dec 2024 - Present (1 year 5 months)

Resolved real-time rider issues including route changes, delays, and customer complaints while maintaining professionalism. Optimized service delivery during peak demand by using mobile apps and GPS tools and ensuring compliance with safety standards and platform policies.

Customer Support Route Optimization GPS Tools Mobile Apps Communication Safety Compliance Time Management

Pharmacy Assistant (Co-op)

Guardian Pharmacy

Sep 2025 - Dec 2025 (3 months)

Assisted pharmacists with medication preparation and prescription processing, including entering patient and prescription details into pharmacy systems. Managed refills and insurance claims/billing transactions, maintained inventory with expiry monitoring, and upheld patient confidentiality and safety standards.

Prescription processing Pharmacy Information Systems Insurance Claims Billing Confidentiality Safety Compliance

MRA Auditor – HCC

Aanine Healthcare

Aug 2022 - Jul 2023 (11 months)

Reviewed medical records to ensure accurate HCC risk adjustment coding through retrospective and prospective chart audits. Validated ICD-10-CM diagnosis codes against documentation, identified coding discrepancies and documentation gaps, and produced audit reports with feedback to improve coding accuracy.

HCC Risk Adjustment Coding ICD 10 CM Documentation Gap Identification Coding Compliance Audit Reporting

HCC Auditor

Optum

May 2018 - Aug 2022 (4 years 3 months)

Audited medical coding records for HCC risk adjustment model support by reviewing coder-assigned diagnosis codes for documentation evidence. Identified overcoding, undercoding, and unsupported diagnoses, prepared audit reports, and collaborated with Clinical Documentation Improvement teams to reduce coding error rates while maintaining ~98% audit accuracy across 250–300+ charts weekly.

HCC Risk Adjustment ICD 10 CM Overcoding Undercoding Detection Unsupported Diagnosis Identification Audit Reporting Healthcare Data Quality Clinical Documentation Improvement (CDI)

HCC Medical Coder

Aaneel Technologies

Oct 2016 - May 2018 (1 year 7 months)

Reviewed patient medical records to identify HCC risk-adjusting conditions and assigned ICD-10-CM diagnosis codes per official coding guidelines. Performed retrospective chart reviews to detect missed diagnoses and maintained coding productivity and quality benchmarks.

ICD 10 Coding HCC Coding Missed Diagnosis Detection Medical Record Review