Aman Dhillon
@amandhillon
Senior risk adjustment coding specialist improving HCC accuracy through CDI, audits, and compliant documentation.
What I'm looking for
I’m a Certified Medical Coder with 9+ years of experience in HCC risk adjustment coding, CDI audits, and healthcare documentation review. I actively support Clinical Documentation Improvement (CDI) initiatives, working directly with providers to resolve coding queries and promote accurate clinical documentation. I also provide provider education and training on encounter Documentation to enhance risk score accuracy and maximize reimbursements.
In my roles, I perform accurate assignment of ICD-10-CM codes with a focus on HCC capture and ensure compliance with CMS Risk Adjustment guidelines and coding standards. As a Lead Auditor and Senior Specialist, I reduce audit error rates through targeted coder training, identify documentation gaps, and implement corrective actions that improve collections—driving 98%+ coding accuracy and a 30% denial-rate reduction through audit and process optimization. I’ve led large-scale coding transformations using automation, coordinated with compliance teams for regulatory readiness, and supported system transitions and integrations (including Epic and 3M encoder implementations) while maintaining HIPAA compliance and internal data governance.
Experience
Work history, roles, and key accomplishments
Senior Risk Adjustment Specialist
Health Data Max
Jan 2023 - Present (3 years 5 months)
Performed ICD-10-CM coding with a focus on HCC capture, interpreting complex documentation across multiple specialties while ensuring CMS Risk Adjustment compliance. Identified documentation gaps, queried providers, and worked with IT to support encoder integrations and maintain HIPAA/internal governance.
Lead Auditor
Accumed LLC
Mar 2018 - Dec 2022 (4 years 9 months)
Managed inpatient and outpatient coding audit programs, including retrospective and concurrent Medicare Advantage (HCC) risk adjustment audits aligned to CMS guidelines. Reduced audit error rates through targeted coder training, provider documentation improvements, and audit tooling/process enhancements.
Medical Coder
Episource
Jul 2016 - Feb 2018 (1 year 7 months)
Assigned ICD-9/ICD-10, CPT, and HCPCS codes by reviewing patient charts to maintain coding productivity and quality standards. Supported denial management and claim corrections, collaborated with physicians for coding clarifications, and participated in internal audits while ensuring HIPAA compliance.
Education
Degrees, certifications, and relevant coursework
Delhi Technological University
Bachelor of Pharmacy, Pharmacy
Earned a Bachelor of Pharmacy from Delhi Technological University in 2016.
Availability
Location
Authorized to work in
Job categories
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