Meenakshi Bahuguna

Certified Professional Coder (CPC) with over 3 years of experience in Medical Coding, HCC Coding, E&M Coding, and Auditing. Currently working as a Senior Medical Coder & Subject Matter Expert (SME) at Optum Global Solutions. Strong expertise in ICD-10-CM, CPT, HCPCS, risk adjustment coding, documentation review, coding audits, and billing compliance.

Proven ability to ensure coding accuracy, identify documentation gaps, support quality improvement initiatives, and maintain compliance with healthcare regulations.

Senior Medical Coder & Subject Matter Expert (SME) - Optum Global Solutions - Noida

(2023-05)

Key Responsibilities

• Review and assign accurate ICD-10-CM, CPT, and HCPCS codes based on clinical documentation and coding guidelines.
• Perform Hierarchical Condition Category (HCC) coding and validation to support Risk Adjustment programs.
• Review and code Evaluation and Management (E&M) services in accordance with current coding standards and payer guidelines.
• Conduct coding audits and documentation reviews to ensure coding accuracy, completeness, and compliance.
• Identify documentation deficiencies and provide recommendations for improvement.
• Perform root cause analysis for coding errors and implement corrective actions.
• Support quality assurance initiatives and participate in audit feedback sessions.
• Act as a Subject Matter Expert (SME) by providing guidance, mentoring, and coding support to team members.
• Collaborate with physicians, auditors, and operational teams to resolve coding-related issues.
• Ensure adherence to HIPAA, CMS, and organizational compliance requirements.

Bachelor of Pharmacy - B.Pharm - Birla Campus, H.N.B. Garhwal University, Srinagar (Garhwal), Uttarakhand (2011)

Class XII - St. Theresa's Convent School, Srinagar Garhwal (2007)

Class X - St. Theresa's Convent School, Srinagar Garhwal (2005)