At Cotiviti India, I review and abstract clinical documentation for Aetna Medicare Risk Adjustment and Elevance Commercial Risk Adjustment projects, assigning ICD-10-CM codes aligned with CMS and payer guidelines.
Previously at Episource India, an Optum business, I coded HCC risk-adjustment charts for HCP, OICA, and WellMed Medicare Advantage projects. I reviewed physician notes, lab results, discharge summaries, and diagnostic reports while consistently meeting productivity and accuracy targets.
I also support coder onboarding, conduct trainee audits and root-cause analysis, and was recognized with Episource's Long Term Service Award for sustained performance and reliability.
