Kiruba Nithi

Certified Professional Coder (CPC) with 3+ years of hands-on experience in HCC medical coding at Optum. Proficient in ICD-10-CM, and HCC medicare and commercial project coding with a strong grasp of Medicare Advantage Risk Adjustment guidelines. Adept at analyzing clinical documentation for accurate code assignment, ensuring compliance and data integrity. Committed to delivering high-quality results in fast-paced, deadline-driven environments.

Medical Coder – HCC Coding at Optum, India (2023-04 – 2025-05)

• Assigned diagnosis codes based on thorough review of medical records in compliance with CMS-HCC Risk Adjustment models
• Ensured all coded data adhered to internal quality benchmarks and federal documentation requirements
• Collaborated with auditing teams to correct inaccuracies and improve documentation standards
• Maintained 95%+ accuracy in coding and met productivity targets consistently
• Projects Handled: Medicare Risk Adjustment, Commercial Insurance Coding

Medical Coder – HCC Coding at Access healthcare, India (2025-07 – Present)

Bachelor of Science in B.Sc. – SRM Medical College, Chennai