Summary
Overview
Work history
Education
Skills
Certification
Timeline
Generic

Navya N

Mysuru

Summary

Accomplished healthcare professional with extensive expertise in medical coding and health information management, specializing in Risk Adjustment. Proficient in medical terminology, coding, and healthcare compliance, with a strong understanding of anatomy and physiology. Demonstrates exceptional skills in electronic health records usage, medical report analysis, and coding quality control. Experienced in audit preparation and electronic data interchange, ensuring accuracy and efficiency in all tasks. As a Risk Adjustment Consultant, I excel in coding accuracy, quality assurance, and compliance with regulatory guidelines, leveraging my deep knowledge of HCC Risk Adjustment, HEDIS, and E&M Coding to drive operational excellence. My analytical acumen, strong problem-solving skills, and exceptional communication abilities enable me to optimize documentation practices, enhance coding accuracy, and improve reimbursement processes. Committed to continuous professional development, I am proactive and adaptable to changing industry standards, dedicated to advancing my career within the healthcare sector by leveraging my extensive expertise to drive positive change and set new standards of excellence.

Overview

4
4
years of professional experience
2021
2021
years of post-secondary education
1
1
Certification

Work history

Senior Consultant - Risk Adjustment Coding

Inofinity Solutions
Vellore, India
03.2024 - Current
  • Conducted comprehensive reviews of clinical statements, ensuring precise procedural and diagnostic code assignments.
  • Scrutinized medical records for accuracy and completeness, ensuring compliance with industry standards.
  • Led and facilitated training sessions for junior staff on the latest ICD-10 coding guidelines, significantly enhancing their skills and knowledge base.
  • Elevated data quality by conducting thorough audits of patient files and implementing corrective actions.
  • Reviewed coded data and performed spot checks to continuously refine and improve coding processes.
  • Introduced and implemented new coding conventions to manage diverse and complex cases, driving efficiency and accuracy.
  • Promoted and maintained high standards of accuracy within all tasks, positively contributing to overall team performance and operational success.

Senior medical coder

Revenuecare Private Limited
Mysuru, India
05.2021 - 02.2024
  • Review medical records to assign appropriate ICD-10-CM diagnosis codes.
  • Ensure accurate coding for risk adjustment and Hierarchical Condition Categories (HCC) & assist in training new coding staff.
  • Coordinate and facilitate HEDIS initiatives and quality improvement activities. Collect and analyze data for HEDIS reports and trending. Collaborate with healthcare providers to implement HEDIS-focused initiatives. Conduct chart reviews to collect HEDIS data.
  • Accurately code patient records for Evaluation and Management (E&M) services.
  • Ensure compliance with coding guidelines and regulatory requirements.
  • Participate in coding audits and quality reviews.

Education

Bachelor of Science - Biotechnology

University of Mysore
Mysore, India

Skills

  • Medical terminology proficiency
  • HCPCS coding
  • ICD-10 Documentation
  • Healthcare compliance understanding
  • Anatomy & Physiology knowledge
  • Audit preparation expertise
  • Risk Adjustment Strategic Planning
  • Certified Medical Coder
  • Documentation Review
  • Process Improvement
  • Training and Development
  • HCC Auditing

Certification

CPC Certified from AAPC, 2024

Timeline

Senior Consultant - Risk Adjustment Coding

Inofinity Solutions
03.2024 - Current

Senior medical coder

Revenuecare Private Limited
05.2021 - 02.2024

Bachelor of Science - Biotechnology

University of Mysore
Navya N