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Vidhya Kamalanaban

@vidhyakamalanaban

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Certified medical coder and auditor specializing in HCC and claim appeals.

United States

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What I'm looking for

I seek remote roles in medical coding/auditing focused on HCC, claim appeals, and CDI with clear quality metrics, professional development, and collaborative, compliance-driven culture.

I am a Certified Professional Coder (CPC) with extensive hands-on experience in medical coding, claim auditing, and risk-adjustment (HCC) projects across inpatient and outpatient settings. I consistently meet productivity and accuracy targets while following CMS, AMA, and AHA guidance.

My background includes real-time coding of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II codes, using encoders and EHR tools such as Epic, Meditech, Optum/ HCC encoders, IBM Navigator, FACETS, Cotiviti, and Polaris. I have completed AAPC internship work (600 real-time cases) and contributed to projects for Optum, Humana, Premera BCBS, Amergis, and others.

I thrive in remote and team environments, focusing on documentation quality improvement, denial and appeals management, clinical documentation improvement, and maintaining HIPAA-compliant coding processes. I am committed to continuous learning and staying current with coding updates to ensure compliance and accurate reimbursement.

Experience

Work history, roles, and key accomplishments

Medical Coder

Premera BCBS

Jan 2025 - Jul 2025 (6 months)

Performed coding and claim appeals/denials review for inpatient and outpatient records, assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and improving coding quality and compliance across claims.

ICD 10 CM CPT HCPCS HIPAA

Medical Risk Adjustment Coder

Amergis

Oct 2024 - Dec 2024 (2 months)

Reviewed patient records to abstract diagnoses for HCC risk adjustment, met productivity and accuracy targets using HCC encoders and ensured CMS/HCC compliance during IVA audits.

Risk Adjustments ICD 10 CM HCC Encoder & Compliance

Medical Coding Intern

AAPC

Apr 2023 - Jun 2024 (1 year 2 months)

Completed 600 real-time coding cases covering inpatient/outpatient E/M and multiple specialties, applying ICD-10, CPT, and encoder workflows to reinforce coding accuracy and documentation standards.

ICD 10 CM CPT Clinical Documentation

Medical RA Coder

Optum

Aug 2023 - Feb 2024 (6 months)

Performed retrospective and concurrent risk adjustment coding and blind reviews for inpatient and outpatient encounters, maintaining ≥95% monthly coding accuracy and adhering to CMS guidelines.

Risk Adjustments ICD 10 CM Blind Coding Quality Assurance