Anandhu S

Detail-oriented and certified Medical Coding professional with 2.4 years of experience in HCC, Evaluation & Management (E/M) Inpatient and Outpatient coding. Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines, insurance compliance, and quality standards. Proven ability to ensure accuracy, productivity, and adherence to client-specific requirements. Seeking expertise to contribute in a growth-oriented healthcare organization.

Medical Coder – E/M & Outpatient Coding - Omega Healthcare

(2024-07 - 2026-04)

• Assigned accurate ICD-10-CM, CPT, and HCPCS codes for Evaluation & Management (E/M) Inpatient and Outpatient encounters, ensuring regulatory compliance.
• Reviewed detailed physician documentation (HPI, ROS, Exam, MDM) to assign appropriate E/M levels as per latest CMS guidelines.
• Applied E/M coding updates with focus on Medical Decision Making (MDM) and time-based coding methodologies.
• Ensured adherence to payer-specific guidelines, NCCI edits, and audit requirements.
• Updated knowledge on CMS changes, coding compliance updates, and industry best practices regularly.
• Collaborated with QA teams, auditors, and team leads to drive continuous quality improvement initiatives.
• Worked with productivity tools and coding platforms like 3M and Optum Encoder Pro.
• Participated in quality audits and feedback sessions to improve overall coding accuracy.
• Demonstrated ability to handle high-volume coding workloads with consistency and efficiency.
• Performed time-based coding for E/M services as per updated CMS guidelines.

Medical Coder - HCC - Cotiviti

(2023-02 - 2023-09)

• Specialized in Hierarchical Condition Category (HCC) coding for risk adjustment projects.
• Reviewed medical records to identify chronic conditions and co-morbidities affecting patient risk scores.
• Ensured accurate assignment of ICD-10-CM codes following CMS HCC guidelines.
• Focused on gap identification and closure to improve risk adjustment accuracy.
• Verified documentation meets MEAT criteria (Monitor, Evaluate, Assess, Treat).
• Maintained strict adherence to compliance, confidentiality, and audit standards.
• Achieved consistent quality scores and productivity targets.

CPC - Medical Coding - Cardea Health Care solution (2023)

CRC - Risk Adjustment Coding - Cotiviti (2023)

Bsc Degree - Allied Health - Sri Devaraj Urs Allied Health education and Research Centre (2018 - 2022)

12th - Biology - Tamil Nadu State Board (2018)